Organization
DOHERTY NUTRITION LLC
Active
Organization
DOHERTY NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA WYATT (OPERATIONS MANAGER)
(469) 372-2022
Entity
Organization
Contact information
Practice address
17060 DALLAS PKWY STE 112, DALLAS, TX 75248-1905
(469) 372-2022
(833) 290-5413
Mailing address
17060 DALLAS PKWY STE 112, DALLAS, TX 75248-1905
(469) 372-2022
(833) 290-5413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
03/07/2024
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