NPI age
15 years
Enumerated 2011-04-21
● Active
Type 1 · Individual
Tara Bzdok, RD, CSR, LD
Bzdok is 1 of 2 dietitian, registered providers in Corsicana and 1 of 5402 in Texas.
Primary specialty
Dietitian, Registered
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-06-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5402 active dietitian, registered providers in Texas.
NPI age
15 years
↑ 9 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-04Enumerated in NPPES
2011
2026
Where they practice
Practice location
400 Hospital Dr, Ste 106
Corsicana, TX 751102489
Mailing address
2713 Blake St
Austin, TX 787483951
Specialties
-
Dietitian, Registered PrimaryA Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 312032 | MEDICARE PTAN |
Practice context
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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