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Organization

DIETGENICS NUTRITION CONSULTING LIMITED LIABILITY COMPANY

Active
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Organization

DIETGENICS NUTRITION CONSULTING LIMITED LIABILITY COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ARACELI VAZQUEZ MS, RD, LD (MEMBER)
(972) 664-0846
Entity
Organization

Contact information

Practice address
1900 JAY ELL DR, RICHARDSON, TX 75081-1838
(972) 664-0846
(972) 744-0726
Mailing address
514 RAVEN DR, MURPHY, TX 75094-3907

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06710
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0047RS
BLUE CROSS AND BLUE SHIELD OF TEXAS
TX
05
2043127-01
TX
01
613657
MEDICARE PTAN
TX
Enumeration date
08/02/2011
Last updated
05/20/2026
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