Provider Demographics
NPI:1619689049
Name:FOOD WITH ANAFER
Entity Type:Organization
Organization Name:FOOD WITH ANAFER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANAFERNANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:972-955-3863
Mailing Address - Street 1:930 LAGUNA DR
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-7312
Mailing Address - Country:US
Mailing Address - Phone:972-955-3863
Mailing Address - Fax:
Practice Address - Street 1:930 LAGUNA DR
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-7312
Practice Address - Country:US
Practice Address - Phone:972-955-3863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty