Organization
FUNCTIONAL DIETETICS OF TEXAS, LLC
Active
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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