Individual
BETH SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSD, MS
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-1032
Mailing address
20506 BLUE TRINITY, SAN ANTONIO, TX 78259-2342
(210) 495-6700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06835
TX
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
10/24/2005
Last updated
11/20/2019
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