Doctor Name: | MRS. DEEYA MARY HAGEN BAIN |
NPI Number: | 1396757068 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 658274 |
Business Practice Address: | 1201 E 9th St Bonham, TX - 754184059 |
Business Phone Number: | 9035831334 |
Business Fax Number: | 9035836449 |
Mailing Address: | 5301 Bello Vista Dr, SHERMAN |
State: | TX |
Postal Code: | 750909285 |
Phone Number: | 9032674868 |
Fax Number: | 9035836692 |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 09/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 658274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |