Doctor Name: | MRS. MARIA-PAULA CARRILLO |
NPI Number: | 1013016633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RDN, LD |
License Number: | 9717533 |
Business Practice Address: | 555 Republic Dr Suite 200 Plano, TX - 750745481 |
Business Phone Number: | 9724229180 |
Business Fax Number: | |
Mailing Address: | 555 Republic Dr, Suite 200 PLANO |
State: | TX |
Postal Code: | 750745481 |
Phone Number: | 9724229180 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 09/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1004X |
License Number: | 9717533 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Pediatric |
Taxonomy Definition: |