Individual
MRS. HALEY KORMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD CDE
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4005
(512) 901-3905
Mailing address
2106 CULLEN AVE, AUSTIN, TX 78757-2525
(903) 720-8525
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83318
TX
Other
Enumeration date
02/06/2017
Last updated
01/27/2022
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