Grapevine, Amber

Grapevine, Amber is an individual health care provider with primary practice located at 1303 Mccullough Ave Suite Gl 70, San Antonio TX 78212-5609. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Grapevine, Amber can be contacted via phone (210) 226-9705.

Contact Information

Primary practice address
1303 Mccullough Ave Suite Gl 70 San Antonio TX 78212-5609
Phone: (210) 226-9705
Fax: (210) 223-4555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT06583 Texas

Profile Details

NPI number 1821070863
LBN Legal business name Grapevine, Amber
Credentials MS, RD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821070863 NPPES
Texas Other DT06583 LICENSE NUMBER

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