Individual
DMITRI HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 LAVACA ST, AUSTIN, TX 78701-1634
(404) 404-8457
Mailing address
1401 LAVACA ST, AUSTIN, TX 78701-1634
(404) 404-8457
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
5743433
TX
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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