Doctor Name: | MRS. VICKI STANPHILL WASHBURN |
NPI Number: | 1235143553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 02113 |
Business Practice Address: | 1209 E. 9th St Bonham, TX - 754184091 |
Business Phone Number: | 9035836292 |
Business Fax Number: | 9035836565 |
Mailing Address: | Po Box 513, BELLS |
State: | TX |
Postal Code: | 754140513 |
Phone Number: | 9034659329 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 02113 |
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 |