Doctor Name: | CARLA G WALTERS |
NPI Number: | 1073869194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LD, CDE |
License Number: | DT07220 |
Business Practice Address: | 6420 N Macarthur Blvd Suite 130 Irving, TX - 750392837 |
Business Phone Number: | 8322373500 |
Business Fax Number: | 2818979906 |
Mailing Address: | 13100 Northwest Fwy, Suite 400 HOUSTON |
State: | TX |
Postal Code: | 770406310 |
Phone Number: | 8322373500 |
Fax Number: | 2818979906 |
NPI Enumeration Date: | 07/26/2012 |
NPI Last Update Date: | 12/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT07220 |
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 |