Organization
GUT PROFESSOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA O'DWYER (REGISTERED DIETITIAN)
(936) 234-4078
Entity
Organization
Contact information
Practice address
86 SHORELINE DR, NACOGDOCHES, TX 75964-9000
(936) 552-9901
Mailing address
86 SHORELINE DR, NACOGDOCHES, TX 75964-9000
(936) 234-4078
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/08/2025
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