IndividualActive
Donovan Maycock, NUTRITIONIST
NPI 1609151489 · Nutritionist · San Antonio, TX
Provider details
- NPI number
- 1609151489
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- NUTRITIONIST
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
Practice location
16610 San Pedro Avenue
San Antonio, TX 78232
Phone: (210) 778-4781
Fax: (210) 545-0444
Approximate (ZIP-level) locationGet directions
Mailing address
16610 San Pedro Avenue
San Antonio, TX 78232
Registry dates
- Enumerated
- 2011-10-12
- Last updated
- 2011-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.