MEDICARE: PLATE OF WELLNESS GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1780520858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLATE OF WELLNESS GROUP LLC

Provider Business Mailing Address
First Line	:	8566 LOW CRK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78255-3537
Country	:	US
Telephone Number	:	314-482-9401
Fax Number	:

Provider Business Practice Location Address
First Line	:	8566 LOW CRK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78255-3537
Country	:	US
Telephone Number	:	314-482-9401
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TARIKA CHHABRA
Credential	:	MS,RD,LDN,CPT
Telephone Number	:	314-482-9401

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “PLATE OF WELLNESS GROUP LLC ” Practice Location

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