Organization
RD NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB LATHAM (OWNER)
(903) 348-5163
Entity
Organization
Contact information
Practice address
106 MEDICAL CIR, SULPHUR SPRINGS, TX 75482-2138
(903) 348-5163
(903) 885-6940
Mailing address
500 OAK AVE, SULPHUR SPRINGS, TX 75482-4132
(903) 348-5163
(903) 885-6940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
724403
TX
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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