Doctor Name: | CHARLENE CORTEZ |
NPI Number: | 1306017975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | DT80212 |
Business Practice Address: | 102 E Hospital Dr Angleton, TX - 775154112 |
Business Phone Number: | 9798644330 |
Business Fax Number: | 9798644339 |
Mailing Address: | 102 E Hospital Dr, ANGLETON |
State: | TX |
Postal Code: | 775154112 |
Phone Number: | 9798644330 |
Fax Number: | 9798644339 |
NPI Enumeration Date: | 03/21/2008 |
NPI Last Update Date: | 03/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1005X |
License Number: | DT80212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Renal |
Taxonomy Definition: |