Martha De La Soujeole, RD, LD is a
Dietitian, Registered based in Fairview, Texas. Martha De La Soujeole is licensed to practice in Texas (license number DT80586) and her current practice location is
431 East Stacy Road, Suite 107, Fairview, Texas. She can be reached at her office (for appointments etc.) via phone at
(469) 285-0636.
NPI number for Martha De La Soujeole is 1770772550 and her current mailing address is 4100 W Eldorado Pkwy, Suite 100, Box 231, Mckinney, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770772550.
Healthcare Provider's Profile
| Full Name | Martha De La Soujeole |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 431 East Stacy Road, Fairview, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770772550
- Provider Enumeration Date: 10/17/2007
- Last Update Date: 03/11/2008
Medical Identifiers
Medical identifiers for Martha De La Soujeole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770772550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DT80586 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Martha De La Soujeole is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Martha De La Soujeole, RD, LD
4100 W Eldorado Pkwy, Suite 100, Box 231,
Mckinney, TX 75070-4422
Ph: (469) 285-0636 | Martha De La Soujeole, RD, LD
431 East Stacy Road, Suite 107,
Fairview, TX 75069-9496
Ph: (469) 285-0636 |
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