Organization · Type 2 NPI
Healthy Nutrition Service
Health Service Clinic/Center · Willow Park, TX
NPI number
1467842328
Active
Practice location
110 Pony Express Trl
Willow Park, TX 76087-3132
Fax (817) 549-0207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | DT80298 (TX) |
Health Service Clinic/Center: Definition to come...
Another provider at this address
About NPI 1467842328
Healthy Nutrition Service's National Provider Identifier is 1467842328, issued on Jan 30, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Willow Park, TX. The record was last updated on Feb 2, 2015.