Individual
JESSICA MARIE URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
Mailing address
100 HILLCREST MEDICAL BLVD, P.O. BOX 21146, WACO, TX 76712-8897
(254) 202-3955
(254) 202-3949
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81388
TX
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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