Individual
KIMBERLY SAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-1990
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT03772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337763201
—
TX
01
—
8EX246
BCBS
TX
Enumeration date
09/10/2014
Last updated
08/04/2022
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