Glenys S Johnson in Dallas - Nutrition, Pediatric
Glenys S Johnson - NPI 1700972460
Glenys S Johnson is a Nutrition, Pediatric in Dallas, Texas. Glenys S Johnson practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Glenys S Johnson is 1700972460. The last update date is 2007-07-09.
Glenys S Johnson's current location address is 1935 Motor Street, Dallas, Texas. You can contact this provider via phone number 2144562182 and fax number 2144566287. The mailing address for Glenys S Johnson is 1935 Motor Street, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenys S Johnson |
|---|---|
| Address | 1935 Motor Street, Dallas, Texas |
| Phone Number | 2144562182 |
| Fax Number | 2144566287 |
| Sole Proprietor | Y |
| Credentials | RD, LD |
NPI Number Detail
| NPI Number | 1700972460 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1935 Motor Street |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 75235 |
| Phone Number | 2144562182 |
| Fax Number | 2144566287 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | DT05235 |
|
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 847744 | TX | REGISTERED DIETITIAN | |
| DT05235 | TX | LICENSED DIETITIAN |
Post Comment/ Review Below
What is the Glenys S Johnson's unique identification number?
The Glenys S Johnson has been assigned the NPI (National Provider Identifier) Number 1700972460 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Glenys S Johnson?
The Glenys S Johnson is physically situated at 1935 Motor Street, in the city of Dallas, state of TX, with the postal code 75235.
What is Glenys S Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Glenys S Johnson is Nutrition, Pediatric, and the taxonomy code that classifies this field of practice is 133Vn1004X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700972460 to Glenys S Johnson?
The Centers for Medicare & Medicaid Services assigned the 1700972460 to Glenys S Johnson on 2006-10-04.
When was the information pertaining to Glenys S Johnson most recently updated or revised?
The details related to Glenys S Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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