| Dietgenics Nutrition Consulting Limited Liability Company | |
|
990 S Sherman St, Richardson, TX 75081-4845 | |
| (972) 664-0846 | |
| Not Available |
| Full Name | Dietgenics Nutrition Consulting Limited Liability Company |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 990 S Sherman St, Richardson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134407596 | NPI | - | NPPES |
| 0047RS | Other | TX | BLUE CROSS AND BLUE SHIELD OF TEXAS |
| 613657 | Other | TX | MEDICARE PTAN |
| 2043127-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT06710 (Texas) | Primary |
| Provider Name | Araceli Vazquez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255505566 PECOS PAC ID: 3375608524 Enrollment ID: I20090223000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Dietgenics Nutrition Consulting Limited Liability Company 3105 Lincolnshire Dr, Richardson, TX 75082-4946 Ph: () - | Dietgenics Nutrition Consulting Limited Liability Company 990 S Sherman St, Richardson, TX 75081-4845 Ph: (972) 664-0846 |
Amber M Murphy, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 Phone: 214-676-8263 Fax: 214-571-4546 | |
Johnna R Hartenstine, MCN,RDN,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Central Expy Ste 409, Richardson, TX 75080 Phone: 214-838-8237 | |
Ms. Jo R Havens, D.T. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1701 N Collins Blvd, Suite 100, Richardson, TX 75080 Phone: 469-385-4900 Fax: 469-385-4265 | |
Rosa Maria Montes-casas, MCN, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2710 Routh Creek Pkwy Apt 10208, Richardson, TX 75082 Phone: 915-261-6864 | |
Ms. Gay Riley, MS, RD, CCN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1510 Braeburn Dr, Richardson, TX 75082 Phone: 800-692-9711 | |
Noel Barrilleaux, RDN, LD, CSSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 N Central Expy Ste 409, Richardson, TX 75080 Phone: 214-838-8237 |