Heather Rowley, RD | |
112 W 4th St, Justin, TX 76247-5014 | |
(817) 727-9652 | |
Not Available |
Full Name | Heather Rowley |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 112 W 4th St, Justin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942775788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT85659 (Texas) | Primary |
Provider Name | Heather Rowley Rd Ld Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609637115 PECOS PAC ID: 2961849666 Enrollment ID: O20240318000652 |
Mailing Address | Practice Location Address |
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Heather Rowley, RD 9330 Avery Ranch Way, Justin, TX 76247-6653 Ph: (817) 727-9652 | Heather Rowley, RD 112 W 4th St, Justin, TX 76247-5014 Ph: (817) 727-9652 |
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Precision Nutrition Dietitian Medicare: Medicare Enrolled Practice Location: 9330 Avery Ranch Way, Justin, TX 76247 Phone: 817-727-9652 Fax: 940-828-1460 |