Mrs Priscilla Fernandez, RD,LD | |
5200 Harry Hines Blvd, Dallas, TX 75235-7709 | |
(214) 590-0153 | |
Not Available |
Full Name | Mrs Priscilla Fernandez |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 5200 Harry Hines Blvd, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265025365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 811434 (Texas) | Primary |
Provider Name | Dallas County Hospital District |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583 |
Mailing Address | Practice Location Address |
---|---|
Mrs Priscilla Fernandez, RD,LD 4527 Via San Antonio, Dallas, TX 75211-3550 Ph: (972) 464-8565 | Mrs Priscilla Fernandez, RD,LD 5200 Harry Hines Blvd, Dallas, TX 75235-7709 Ph: (214) 590-0153 |
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