Healthcare Provider Details

I. General information

NPI: 1770352676
Provider Name (Legal Business Name): TEXARKANA NUTRITION CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 05/07/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 STATELINE AVE SUITE #104
TEXARKANA AR
71854-1787
US

IV. Provider business mailing address

6272 RUDD NICHOLS RD
TEXARKANA AR
71854-1787
US

V. Phone/Fax

Practice location:
  • Phone: 870-703-4480
  • Fax:
Mailing address:
  • Phone: 870-703-4480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: AMANDA L ALMAND
Title or Position: OWNER
Credential: RDN
Phone: 870-703-4480