Individual
MR. MICHAEL CLAUDE TRUST II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1919 LOCKHILL SELMA RD 101, SAN ANTONIO, TX 78213-1506
(210) 843-2995
Mailing address
23627 SUNSET PEAK, SAN ANTONIO, TX 78258-7543
(912) 492-6453
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06414
TX
Other
Enumeration date
08/22/2005
Last updated
12/28/2015
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