Doctor Name: | MR. JOSEPH ROBERT GOCHNOUR |
NPI Number: | 1255755492 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MED, RDN, LD, CPT |
License Number: | DT83081 |
Business Practice Address: | 821 W 11th St Austin, TX - 787012009 |
Business Phone Number: | 2817578139 |
Business Fax Number: | 8889654398 |
Mailing Address: | 2529 Rio Grande St Apt 28, AUSTIN |
State: | TX |
Postal Code: | 787054506 |
Phone Number: | 2817578139 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2014 |
NPI Last Update Date: | 05/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT83081 |
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 |