NPI 1689879363
Medina County
Practice location
- Address
- 808a Harper, Hondo, TX 78861-2000
- Phone
- (830) 741-6160
- Fax
- (830) 741-6164
Authorised official
- Name
- Michele Thacker
- Title
- Manager, Nutrition Center
- Phone
- (830) 741-6160
Registered specialties
Dietary Manager
Primary
Registry record
- NPI
- 1689879363
- Entity type
- Organization
- NPI issued
- 20 Jun 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.