Tracy L Bruen in Lake Jackson - Dietitian, Registered
Tracy L Bruen - NPI 1609939636
Tracy L Bruen is a Dietitian, Registered in Lake Jackson, Texas. Tracy L Bruen practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Tracy L Bruen is 1609939636. The last update date is 2008-12-12.
Tracy L Bruen's current location address is 100 Medical Drive, Lake Jackson, Texas. You can contact this provider via phone number 9792851602 and fax number 9792992816. The mailing address for Tracy L Bruen is 100 Medical Drive, Lake Jackson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy L Bruen |
|---|---|
| Address | 100 Medical Drive, Lake Jackson, Texas |
| Phone Number | 9792851602 |
| Fax Number | 9792992816 |
| Sole Proprietor | Y |
| Credentials | MS, RD, LD |
NPI Number Detail
| NPI Number | 1609939636 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2008-12-12 |
Provider Mailing Address Detail
| Address | 100 Medical Drive |
|---|---|
| City | Lake Jackson |
| State | Texas (TX) |
| Post Code | 775665690 |
| Phone Number | 9792851602 |
| Fax Number | 9792992816 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | DT80898 |
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Definition: A 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 applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DT80898 | TX | TEXAS STATE BOARD OF EXAMINERS |
Post Comment/ Review Below
What is the Tracy L Bruen's unique identification number?
The Tracy L Bruen has been assigned the NPI (National Provider Identifier) Number 1609939636 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Tracy L Bruen located?
The Tracy L Bruen is located at 100 Medical Drive, Lake Jackson, TX 775665690.
What is the area of specialization for Tracy L Bruen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tracy L Bruen is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609939636 to Tracy L Bruen?
The Tracy L Bruen received its 1609939636 assignment from the Centers for Medicare & Medicaid Services on 2006-12-19.
As of what date were the details pertaining to Tracy L Bruen last refreshed?
The information related to the Tracy L Bruen, including its address, specialty, and other relevant details, was last updated on 2008-12-12.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH