MEDICARE: AMARNA & CO LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	133NN1002X	Nutrition Education Nutritionist
2	133N00000X	Nutritionist
3	2083P0901X	Public Health & General Preventive Medicine Physician

General Provider Information

NPI Number	:	1366196834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMARNA & CO LLC

Provider Business Mailing Address
First Line	:	5835 CALLAGHAN RD STE 205
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1224
Country	:	US
Telephone Number	:	210-519-6039
Fax Number	:

Provider Business Practice Location Address
First Line	:	5835 CALLAGHAN RD STE 205
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1224
Country	:	US
Telephone Number	:	210-519-6039
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NINA CARR
Credential	:
Telephone Number	:	210-519-6039

Provider Enumeration Date	:	02/04/2022
Last Update Date	:	11/03/2022

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Directions to “AMARNA & CO LLC ” Practice Location

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