Teri Jo Russell in Wichita Falls - Dietitian, Registered
Teri Jo Russell - NPI 1467513929
Teri Jo Russell is a Dietitian, Registered in Wichita Falls, Texas. Teri Jo Russell practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Teri Jo Russell is 1467513929. The last update date is 2007-07-08.
Teri Jo Russell's current location address is 5411 Starwood Ave, Wichita Falls, Texas. You can contact this provider via phone number 9406968064. The mailing address for Teri Jo Russell is 5411 Starwood Ave, Wichita Falls, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teri Jo Russell |
|---|---|
| Address | 5411 Starwood Ave, Wichita Falls, Texas |
| Phone Number | 9406968064 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1467513929 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5411 Starwood Ave |
|---|---|
| City | Wichita Falls |
| State | Texas (TX) |
| Post Code | 763103339 |
| Phone Number | 9406968064 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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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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What is the unique 10-digit identification code assigned to Teri Jo Russell by the Centers for Medicare & Medicaid Services?
The Teri Jo Russell has been issued the NPI (National Provider Identifier) 1467513929, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Teri Jo Russell?
The Teri Jo Russell is situated at 5411 Starwood Ave, in the city of Wichita Falls, state of TX, with the zip code 763103339.
What is Teri Jo Russell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Teri Jo Russell's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.
When did the Teri Jo Russell receive its 1467513929?
The Teri Jo Russell was issued its 1467513929 on 2006-12-12, which is the date when the organization was assigned this unique identifier.
When was the information regarding Teri Jo Russell most recently updated?
The details pertaining to the Teri Jo Russell, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.