NPI age
14 years
Enumerated 2011-11-07
Across 5402 active dietitian, registered providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | DT90522 | TEXAS DEPARTMENT OF LICENSING & REGULATION |
| 01 (IL) | 164005548 | STATE LICENSE |
Part of a multi-provider practice. 92 other active providers share this practice address in NPPES.
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