UP4 NUTRITION LLC

RICHARDSON, TX
NPI1942662283
Doing Business AsUP4 NUTRITION
Entity TypeOrganization
Authorized ContactUZMA WAHEED KHAN
Dietitian
469-471-1988
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
Additional Taxonomies305R00000X Preferred Provider Organization
(Licence: TX  DT07722)
Enumeration Date2016-03-25
Last Update Date2017-07-13
Business Address
UP4 NUTRITION LLC
3417 SPECTRUM BLVD
RICHARDSON, TX 75082-9705
Phone number: 469-471-1988
Mailing Address
UP4 NUTRITION LLC
4405 BOULDER DRIVE
PARKER, TX 75002
Phone number: 469-471-1988