NPI age
12 years
Enumerated 2014-03-12
Across 5402 active dietitian, registered providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 337110602 | |
| 05 (TX) | 337110601 | |
| 01 (TX) | 75-0818167-015 | TRICARE |
| 01 (TX) | 75-2616977-017 | TRICARE |
| 01 (TX) | 75-2616977-124 | TRICARE |
| 01 (TX) | 8EG498 | BCBS |
| 01 (TX) | 75-2616977-042 | TRICARE |
| 01 (TX) | 8EY388 | BCBS |
| 01 (TX) | P01443786 | RAIL ROAD MEDICARE |
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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