Doctor Name: | KRISTINA ISIDORA MATA |
NPI Number: | 1043646953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MDS, RD, LD |
License Number: | 1090026 |
Business Practice Address: | 3533 S Alameda Corpus Christi, TX - 784111721 |
Business Phone Number: | 3616945489 |
Business Fax Number: | |
Mailing Address: | 7221 S Staples, Apt#728 CORPUS CHRISTI |
State: | TX |
Postal Code: | 784135513 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/24/2013 |
NPI Last Update Date: | 09/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1090026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |