| Organization Name: | EDUCATION SERVICE CENTER REGION XV |
| NPI Number: | 1396867966 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA MOELLER (ADMINISTRATIVE ASSISTANT) |
| Mailing Address: | 612 S Irene St San Angelo |
| State: | TX US |
| Postal Code: | 769036629 |
| Phone Number: | 3256586571 |
| Fax Number: | 3256530036 |
| NPI Enumeration Date: | 04/04/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| 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 |