| Jessica Holy, MS,RD,LD | |
|
1500 Cooper St, Fort Worth, TX 76104-2710 | |
| (682) 885-2500 | |
| (682) 885-2510 |
| Full Name | Jessica Holy |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Pediatric |
| Location | 1500 Cooper St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891151114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | DT05224 (Texas) | Primary |
| Provider Name | Cook Childrens Physician Network |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Holy, MS,RD,LD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Jessica Holy, MS,RD,LD 1500 Cooper St, Fort Worth, TX 76104-2710 Ph: (682) 885-2500 |
Allison Conklin, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Fort Worth, TX 76107 Phone: 817-569-4300 | |
Janet Gaytan, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2600 E Berry St, Fort Worth, TX 76105 Phone: 817-347-4600 Fax: 817-347-4639 | |
Rachel Hill, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-4007 Fax: 682-885-4004 | |
Miss Marley Grams, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 940-300-7012 | |
Lisa Lloyd, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4500 Mercantile Plaza Dr Ste 108, Fort Worth, TX 76137 Phone: 469-294-9075 | |
Robin Caroline Dagg, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6824 Brants Ln, Fort Worth, TX 76116 Phone: 501-650-4282 | |
Stephanie Ann Gay, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1810 Turner Ridge Dr Apt 9208, Fort Worth, TX 76110 Phone: 847-502-9429 |