NPI age
18 years
Enumerated 2008-04-17
Across 5402 active dietitian, registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 2043127-02 | |
| 01 (TX) | 613657 | MEDICARE PTAN |
| 01 (TX) | 01309466 | AMERIGROUP |
| 05 (TX) | 2043127-01 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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