Doctor Name: | MRS. GRACIELA EVANS |
NPI Number: | 1417118308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | DT80748 |
Business Practice Address: | 6010 W Amarillo Blvd Amarillo, TX - 791061990 |
Business Phone Number: | 8063547881 |
Business Fax Number: | 8064681502 |
Mailing Address: | 2702 Sweetgum Ln, AMARILLO |
State: | TX |
Postal Code: | 791244928 |
Phone Number: | 8063677540 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2008 |
NPI Last Update Date: | 06/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT80748 |
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 |