Doctor Name: | MS. ANNA MARIE RODRIGUEZ |
NPI Number: | 1376728188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., C.S.R., L.D. |
License Number: | DT05346 |
Business Practice Address: | 159 Nw Rough Creek Rd Mountain Home, TX - 780580105 |
Business Phone Number: | 8308663634 |
Business Fax Number: | 8308663634 |
Mailing Address: | Po Box 105, MOUNTAIN HOME |
State: | TX |
Postal Code: | 780580105 |
Phone Number: | 8308663634 |
Fax Number: | 8308663634 |
NPI Enumeration Date: | 12/31/2007 |
NPI Last Update Date: | 12/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT05346 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |