Individual
ALLIE JO TASCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
2201 SE LOOP 820 RM 2N-121, FORT WORTH, TX 76119-5863
(817) 730-0028
Mailing address
2201 SE LOOP 820 RM 2N-121, FORT WORTH, TX 76119-5863
(817) 730-0028
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86054371
COMMISSION ON DIETETIC REGISTRATION (CDR)
—
01
—
DT84664
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
09/13/2017
Last updated
07/21/2022
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