Individual
MR. ELLIOTT CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
4530 GLADES WAY, SAN ANTONIO, TX 78222-2912
(210) 324-5581
Mailing address
4530 GLADES WAY, SAN ANTONIO, TX 78222-2912
(210) 324-5581
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85665
TX
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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