Your Specialized Dietitian
NPI #1285029017 in Whitesboro, Texas
Provider Information
- NPI Number
- 1285029017
- Entity Type
- Organization
- Organization Name
- Your Specialized Dietitian
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Mar 30, 2015
- Last Updated
- Mar 30, 2015
Practice Location
- Address
- 408 W MAIN ST
- City
- Whitesboro
- State
- Texas
- ZIP Code
- 76273-1641
- Phone
- (903) 816-3657
Authorized Official
- Name
- MR. KYLE FIELDING ROSE, RD
- Title
- OWNER
- Phone
- (903) 816-3657
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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