Doctor Name: | MR. BERNARD THOMAS MALONE |
NPI Number: | 1285657791 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., R.D., L.D. |
License Number: | DT03025 |
Business Practice Address: | 7400 Merton Minter St Nutrition & Food Service (120) San Antonio, TX - 782294404 |
Business Phone Number: | 2106175118 |
Business Fax Number: | 2109493299 |
Mailing Address: | 26315 Reyglen Dr, SAN ANTONIO |
State: | TX |
Postal Code: | 782553548 |
Phone Number: | 2106989202 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT03025 |
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 |