My Frisco Dietitian

NPI #1982080396 in Frisco, Texas

Provider Information

NPI Number: 1982080396
Entity Type: Organization
Organization Name: My Frisco Dietitian
Primary Specialty: Dietitian, Registered
Enumeration Date: Aug 7, 2015
Last Updated: Aug 7, 2015

Practice Location

Address: 8553 DAVIS DR
City: Frisco
State: Texas
ZIP Code: 75034-8295
Phone: (214) 763-8410

Authorized Official

Name: JASON J BLAKENEY
Title: OWNER
Phone: (214) 763-8410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered - Nutrition, Pediatric — Nutrition, Pediatric	133VN1004X
Dietitian, Registered	133V00000X	Primary

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