DIANA R LOUDENBACK

FORT WORTH, TX
NPI1154590503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT04141)
Enumeration Date2008-02-29
Last Update Date2008-02-29
Business Address
Mrs. DIANA R LOUDENBACK RD/LD
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-920-6734
Mailing Address
Mrs. DIANA R LOUDENBACK RD/LD
1400 S MAIN ST SUITE 300
FORT WORTH, TX 76104-4909
Phone number: 817-920-6738