Organization
HEALTHY NUTRITION SERVICE
Active
Other names
Healthy Nutrition Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH ANN NEUMANN RD, LD (OWNER)
(817) 995-4677
Entity
Organization
Contact information
Practice address
110 PONY EXPRESS TRL, WILLOW PARK, TX 76087-3132
(817) 995-4677
(817) 549-0207
Mailing address
110 PONY EXPRESS TRL, WILLOW PARK, TX 76087-3132
(817) 995-4677
(817) 549-0207
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
DT80298
TX
Other
Enumeration date
01/30/2015
Last updated
02/02/2015
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