FJR Nutrition

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FJR NUTRITION

Practice address

5460 Babcock Rd
San Antonio, TX 78240-3901

Phone

(512) 423-7348

NPI assigned

Feb 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frank David Wyatt Jr., MS,RD,CSO,LD

Title

Registered Dietitian

Phone

(512) 423-7348

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1528823440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6418 ECKHERT RD APT 10101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403901",
            "telephone_number": "512-423-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FJR NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "512-423-7348",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MS,RD,CSO,LD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Five Star Medical Supply Incorporated
• Five Star Quality Care-TX, LLC
• Five Star Rehabilitation and Wellness Services, LLC
• Five Star Rehabilitation and Wellness Services, LLC.
• Kassidy Fix, DO
• Candace Alexandra Flagg, MD
• Justin Lee Flagg
• Martha L. Flagg, NP
• Flagship Medical Group
• Flagship Medical Group

• Health Service Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.