Samuel-Worsham, Renny

Samuel-Worsham, Renny is an sole proprietor health care provider with primary practice located at 4204 Gardendale St Ste 106, San Antonio TX 78229-3138. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Samuel-Worsham, Renny can be contacted via phone (210) 325-0147.

Contact Information

Primary practice address
4204 Gardendale St Ste 106 San Antonio TX 78229-3138
Phone: (210) 325-0147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X DT01379 Texas

Profile Details

NPI number 1104000298
LBN Legal business name Samuel-Worsham, Renny
Credentials M.S.,R.D.,L.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 25th, 2007
Last updated Jun 24th, 2020 - about 5 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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