Diane E Wallace in Keller - Dietitian, Registered

Diane E Wallace - NPI 1841219318

Diane E Wallace is a Dietitian, Registered in Keller, Texas. Diane E Wallace practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Diane E Wallace is 1841219318. The last update date is 2007-07-08.

Diane E Wallace's current location address is 9109 Chardin Park Dr, Keller, Texas. You can contact this provider via phone number 8177988977. The mailing address for Diane E Wallace is 9109 Chardin Park Dr, Keller, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane E Wallace
Address 9109 Chardin Park Dr, Keller, Texas
Phone Number 8177988977
Fax Number
Sole Proprietor Y
Credentials RD, CDE, R

NPI Number Detail

NPI Number 1841219318
Provider Enumeration Date 2006-07-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9109 Chardin Park Dr
City Keller
State Texas (TX)
Post Code 762487626
Phone Number 8177988977
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No DT04296
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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FAQs about Diane E Wallace

What is the Diane E Wallace's unique identification number?

The Diane E Wallace has been assigned the NPI (National Provider Identifier) Number 1841219318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Diane E Wallace?

The Diane E Wallace is situated at 9109 Chardin Park Dr, in the city of Keller, state of TX, with the zip code 762487626.

What is Diane E Wallace's area of expertise and its corresponding taxonomy classification?

The Diane E Wallace's field of specialization is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Diane E Wallace receive its 1841219318 assignment from the Centers for Medicare & Medicaid Services?

The Diane E Wallace was assigned its 1841219318 by the Centers for Medicare & Medicaid Services on 2006-07-18.

When was the Diane E Wallace's information last updated?

The Diane E Wallace's information was last updated on 2007-07-08.

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