Individual
HEATHER DI STEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSG
Contact information
Practice address
2911 MEDLIN DR, ARLINGTON, TX 76015-2330
(682) 564-2381
(817) 476-6133
Mailing address
3401 STATE HIGHWAY 34 S, GREENVILLE, TX 75402-5128
(682) 999-5835
(817) 476-6133
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
951447
COMMISSION ON DIETETIC REGISTRATION
—
01
—
DT80524
TEXAS STATE BOARD OF EXAMINERS OF DIETITIANS
TX
Enumeration date
10/08/2008
Last updated
11/14/2024
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