| Agnes Blachut, RDN, LD | |
|
4500 S Lancaster Rd, Dallas, TX 75216-7167 | |
| (214) 742-8387 | |
| Not Available |
| Full Name | Agnes Blachut |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 4500 S Lancaster Rd, Dallas, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063096204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT86724 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Agnes Blachut, RDN, LD 4231 Travis St Apt 19, Dallas, TX 75205-4873 Ph: (630) 824-8351 | Agnes Blachut, RDN, LD 4500 S Lancaster Rd, Dallas, TX 75216-7167 Ph: (214) 742-8387 |
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Mrs. Meredith Doerries Ratliff, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8200 Walnut Hill Ln, Dallas, TX 75231 Phone: 214-345-7413 |