Doctor Name: | LARRY CLEVELAND |
NPI Number: | 1104064138 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD, LD, LMT |
License Number: | DT06352 |
Business Practice Address: | 2430 S I-35 E Ste 128 Denton, TX - 762054943 |
Business Phone Number: | 9728245011 |
Business Fax Number: | |
Mailing Address: | 2430 S I-35 E Ste 128, DENTON |
State: | TX |
Postal Code: | 762054943 |
Phone Number: | 9728245011 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2009 |
NPI Last Update Date: | 06/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT06352 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |