Organization
FUNCTIONAL DIETETICS OF TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH MILLARD RDN, LD (MANAGING MEMBER)
(281) 615-3708
Entity
Organization
Contact information
Practice address
4630 MAGNOLIA COVE DR APT 1131, KINGWOOD, TX 77345-2155
(281) 615-3708
Mailing address
4630 MAGNOLIA COVE DR APT 1131, KINGWOOD, TX 77345-2155
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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