| G Ives Nutrition Therapy Llc | |
|
3144 Tex Blvd Fort Worth TX 76116-4224 | |
| (214) 538-6565 | |
| Not Available |
| Full Name | G Ives Nutrition Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3144 Tex Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Virginia Ives (OWNER/PROVIDER) |
| Authorized Official Contact | 2145386565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G Ives Nutrition Therapy Llc 3035 Oxfordshire Ln Farmers Branch TX 75234-3615 Ph: (214) 538-6565 | G Ives Nutrition Therapy Llc 3144 Tex Blvd Fort Worth TX 76116-4224 Ph: (214) 538-6565 |
| NPI Number | 1871053843 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 05/19/2022 |
| Certification Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871053843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
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