Individual
CHRISTIAN PAUL FANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-5070
Mailing address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-5070
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86422
TX
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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