| Doctor Name: | TARA BZDOK |
| NPI Number: | 1235420514 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CSR, LD |
| License Number: | |
| Business Practice Address: | 7500 Rialto Blvd Ste 250 Austin, TX - 787358556 |
| Business Phone Number: | 5128093689 |
| Business Fax Number: | 5123675692 |
| Mailing Address: | 2713 Blake St, AUSTIN |
| State: | TX |
| Postal Code: | 787483951 |
| Phone Number: | 5126084054 |
| Fax Number: | 5128526691 |
| NPI Enumeration Date: | 04/21/2011 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |