Doctor Name: | CHELSEA BUBEL |
NPI Number: | 1770989436 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | DT83251 |
Business Practice Address: | 910 E Houston St Ste 550 Tyler, TX - 757028366 |
Business Phone Number: | 9035927393 |
Business Fax Number: | 9035977538 |
Mailing Address: | Po Box 846098, DALLAS |
State: | TX |
Postal Code: | 752846098 |
Phone Number: | 9033246450 |
Fax Number: | 9035937852 |
NPI Enumeration Date: | 11/07/2014 |
NPI Last Update Date: | 06/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT83251 |
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 |