| My Signature Nutrition, Llc | |
|
5620 Old Bullard Rd, Suite 125, Tyler, TX 75703-4358 | |
| (903) 312-8906 | |
| Not Available |
| Full Name | My Signature Nutrition, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 5620 Old Bullard Rd, Tyler, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528462223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT82055 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| My Signature Nutrition, Llc 5620 Old Bullard Rd, Suite 125, Tyler, TX 75703-4358 Ph: (903) 312-8906 | My Signature Nutrition, Llc 5620 Old Bullard Rd, Suite 125, Tyler, TX 75703-4358 Ph: (903) 312-8906 |
Clarice Michelle Mcdaniels, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 428 Centennial Pkwy, Tyler, TX 75703 Phone: 903-266-5900 | |
Neily Louise Wheeler, LICENSED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-592-7393 Fax: 903-597-7538 | |
Mrs. Lauren Clark, MS, RD, LD, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 910 E Houston St Ste 320, Tyler, TX 75702 Phone: 903-606-4300 Fax: 903-606-1283 | |
Miss Sara Hanson, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1358 E Richards St, Tyler, TX 75702 Phone: 903-531-9455 | |
Jill Coble, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 | |
Callie Tatman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 | |
Sara Upson, M.ED, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Independence Pl Ste 201, Tyler, TX 75703 Phone: 903-312-8906 |