Doctor Name: | MARY OSBORN |
NPI Number: | 1568885465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 628422 |
Business Practice Address: | 5111 Canyon Dr Amarillo, TX - 791103037 |
Business Phone Number: | 8062123006 |
Business Fax Number: | 8062120563 |
Mailing Address: | 5111 Canyon Dr, AMARILLO |
State: | TX |
Postal Code: | 791103037 |
Phone Number: | 8062123006 |
Fax Number: | 8062120563 |
NPI Enumeration Date: | 01/28/2014 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 628422 |
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 |