Functional Rd, Llc is a
Dietitian, Registered based in Shavano Park, Texas. Functional Rd, Llc is licensed to practice in Texas (license number DT83404) and their current practice location is
106 Chimney Rock Lane, Shavano Park, Texas. It can be reached at their office (for appointments etc.) via phone at
(409) 658-5028.
NPI number for Functional Rd, Llc is 1932627312 and their current mailing address is 14439 Nw Military Hwy Ste 108, Shavano Park, Texas. Functional Rd, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1932627312.
Healthcare Provider's Profile
Full Name | Functional Rd, Llc |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 106 Chimney Rock Lane, Shavano Park, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932627312
- Provider Enumeration Date: 09/06/2017
- Last Update Date: 04/01/2024
Medical Identifiers
Medical identifiers for Functional Rd, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932627312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DT83404 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Functional Rd, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Functional Rd, Llc 14439 Nw Military Hwy Ste 108, Shavano Park, TX 78231-1648 Ph: (210) 920-0669 | Functional Rd, Llc 106 Chimney Rock Lane, Shavano Park, TX 78231-1648 Ph: (409) 658-5028 |
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