Individual
MRS. FAHIMAH YAZDANFARD CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
14832 MAIN ST., USRENAL CARETRI-COUNTY DIALYSIS, LYTLE, TX 78052
(830) 772-5784
(830) 772-5793
Mailing address
14 KNIGHTS PEAK, SAN ANTONIO, TX 78254-2511
(210) 872-6105
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT 80799
TX
Other
Enumeration date
05/23/2008
Last updated
05/10/2011
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