| Jonathan Shane Clack, MS, RD, LD | |
|
805 Terry Trl, Weatherford, TX 76086-4601 | |
| (817) 629-0420 | |
| Not Available |
| Full Name | Jonathan Shane Clack |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 805 Terry Trl, Weatherford, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801230685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT82634 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Shane Clack, MS, RD, LD 805 Terry Trl, Weatherford, TX 76086-4601 Ph: (817) 629-0420 | Jonathan Shane Clack, MS, RD, LD 805 Terry Trl, Weatherford, TX 76086-4601 Ph: (817) 629-0420 |
Weatherford Regional Medical Center - Dietitian Dietitian Medicare: Not Enrolled in Medicare Practice Location: 713 E Anderson St, Weatherford, TX 76086 Phone: 817-599-1420 Fax: 817-991-1805 | |
Ms. Glenys Oyston, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 226 Merlin Dr, Weatherford, TX 76086 Phone: 415-722-9226 | |
Virtual Dietitian Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 971 Hilltop Dr, Weatherford, TX 76086 Phone: 817-602-5909 | |
Gina Hall, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1026 Pilgrim Trl., Weatherford, TX 76088 Phone: 817-312-8943 | |
Stacey Wood, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 971 Hilltop Dr, Weatherford, TX 76086 Phone: 817-602-5909 | |
Bailey Dixon Clack, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 805 Terry Trl, Weatherford, TX 76086 Phone: 817-597-0091 | |
Dare To Not Diet Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 226 Merlin Dr, Weatherford, TX 76086 Phone: 415-722-9226 |