Provider Demographics
NPI:1528735370
Name:NATALIE GRUN, RDN, LLC
Entity type:Organization
Organization Name:NATALIE GRUN, RDN, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-609-0651
Mailing Address - Street 1:19508 SANGREMON WAY
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3463
Mailing Address - Country:US
Mailing Address - Phone:713-542-5973
Mailing Address - Fax:
Practice Address - Street 1:1000 GATTIS SCHOOL RD STE 150B
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2566
Practice Address - Country:US
Practice Address - Phone:512-609-0651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty