Doctor Name: | ASHLEY TYSHANN KADLUBAR |
NPI Number: | 1720367998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LD |
License Number: | DT |
Business Practice Address: | 2020 W State Highway 114 Suite 180 Grapevine, TX - 760518649 |
Business Phone Number: | 8173055063 |
Business Fax Number: | 8173055069 |
Mailing Address: | 1650 W College St, GRAPEVINE |
State: | TX |
Postal Code: | 760513565 |
Phone Number: | 8173055063 |
Fax Number: | 8173055069 |
NPI Enumeration Date: | 08/05/2011 |
NPI Last Update Date: | 08/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT |
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 |