| Doctor Name: | MR. VERNE SHIZUO FUTAGAWA |
| NPI Number: | 1295897262 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RD |
| License Number: | |
| Business Practice Address: | 939 Missile Rd Sheppard Afb, TX - 763112263 |
| Business Phone Number: | 9406766617 |
| Business Fax Number: | 9406763850 |
| Mailing Address: | 113 Jupiter St, SHEPPARD AFB |
| State: | TX |
| Postal Code: | 763111011 |
| Phone Number: | 9408518564 |
| Fax Number: | 9408513850 |
| NPI Enumeration Date: | 12/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |