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Organization

FJR NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANK DAVID WYATT JR. MS,RD,CSO,LD (REGISTERED DIETITIAN)
(512) 423-7348
Entity
Organization

Contact information

Practice address
5460 BABCOCK RD, SAN ANTONIO, TX 78240-3901
(512) 423-7348
Mailing address
6418 ECKHERT RD APT 10101, SAN ANTONIO, TX 78240-2898

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
02/20/2024
Last updated
02/20/2024
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Product
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  • Eligibility checks
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