Doctor Name: | SUSAN SIZEMORE |
NPI Number: | 1063561124 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 806564 |
Business Practice Address: | 110 Queenswood Trl Victoria, TX - 779012541 |
Business Phone Number: | 3617886171 |
Business Fax Number: | |
Mailing Address: | 110 Queenswood Trl, VICTORIA |
State: | TX |
Postal Code: | 779012541 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 806564 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |