Organization
JAN TILLEY & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN L TILLEY DIETITIAN (PRESIDENT)
(210) 545-4422
Entity
Organization
Contact information
Practice address
400 N LOOP 1604 E, SUITE 175, SAN ANTONIO, TX 78232-1258
(210) 545-4422
(210) 545-4495
Mailing address
400 N LOOP 1604 E, SUITE 175, SAN ANTONIO, TX 78232-1258
(210) 545-4422
(210) 545-4495
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DY04462
TX
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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