Jun Zhao
Dietitian, Registered in Grapevine, TX. Organization (NPI-2).
NPI number1194470187
StatusActive
Last updated in NPPESAug 26, 2022
Details
- NPI
- 1194470187
- Entity type
- Organization (NPI-2)
- Legal business name
- Jun Zhao
- Organization subpart
- No
- Enumeration date
- Feb 17, 2022
- Certification date
- Aug 26, 2022
- Last updated
- Aug 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
1701 W Northwest HwyGrapevine, TX 76051-8127
Phone 682-337-3138
Mailing address
8825 Laurel LnKeller, TX 76248-1426
Other practice locations
511 E John Carpenter Fwy Ste 500
Irving, TX 75062-8138
Irving, TX 75062-8138
Phone 682-337-3138
Authorized official
Jun Zhao
Owner
6823373138
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