Organization
NUTRITIOUS CONCEPTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBI S ANJUM RDN, LD (REGISTERED DIETITIAN)
(972) 379-8832
Entity
Organization
Contact information
Practice address
15922 ELDORADO PKWY, STE 500-925, FRISCO, TX 75035
(972) 379-8832
Mailing address
15922 ELDORADO PKWY, STE 500-925, FRISCO, TX 75035-8783
(972) 379-8832
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80546
TX
Other
Enumeration date
04/30/2018
Last updated
11/05/2018
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