Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Donovan Maycock, NUTRITIONIST

Individual provider Nutritionist · NPI 1609151489

Donovan Maycock, NUTRITIONIST is a Nutritionist in San Antonio, Texas. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
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Practice location Address checks out

16610 San Pedro Ave
San Antonio, TX 78232
Phone: (210) 778-4781
Fax: (210) 545-0444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X
Nutrition Education Nutritionist Taxonomy 133NN1002X

Record details

NPI number1609151489
Entity typeIndividual (Type 1)
GenderMale
Credentials NUTRITIONIST
Sole proprietorNo
NPI enumeratedOctober 12, 2011
Last updated in NPPESOctober 12, 2011

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