| NPI | 1285886713 |
|---|---|
| Doing Business As | MNT DIABETES SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRENT SMITH CFO 580-355-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2015-05-08 |