Doctor Name: | MRS. BECKY LYNN KUBICEK |
NPI Number: | 1407929912 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LD |
License Number: | DT03857 |
Business Practice Address: | 110 Shult Drive Columbus Community Hospital Columbus, TX - 789340865 |
Business Phone Number: | 9797322371 |
Business Fax Number: | |
Mailing Address: | 3070 Fm 332, BRENHAM |
State: | TX |
Postal Code: | 778337653 |
Phone Number: | 9798300336 |
Fax Number: | 9798300035 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 10/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT03857 |
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 |