Organization · NPI-2

Absolutely Thin

Dietary Manager · Dallas, TX

NPI number1821411752
StatusActive
Last updated in NPPESJan 29, 2014

Details

NPI
1821411752
Entity type
Organization (NPI-2)
Legal business name
Absolutely Thin
Organization subpart
No
Enumeration date
Jan 29, 2014
Last updated
Jan 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
132700000X Dietary ManagerPA02139TXYes

Practice location

15150 Preston Rd Suite 150
Dallas, TX 75248

Phone 972-934-3231

Mailing address

15150 Preston Rd Ste 150
Dallas, TX 75248-4877

Phone 972-934-3231

Authorized official

Tony A. Phillips
Staff Physician Assistant
9729343231

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