Individual
MAX MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LD
Contact information
Practice address
6711 S NEW BRAUNFELS AVE, SAN ANTONIO, TX 78223-3005
(210) 532-8811
Mailing address
6711 S NEW BRAUNFELS AVE, SAN ANTONIO, TX 78223-3005
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86293944
COMMISSION ON DIETETIC REGISTRATION
—
01
—
DT87879
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
08/28/2025
Last updated
08/28/2025
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