Individual
MRS. BRENDA CELESTE TINDALL
Active
Individual
MRS. BRENDA CELESTE TINDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA,RD,LD,CDE,BC-ADM
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
817434
TX
133V00000X
Registered Dietitian
Primary
DT05337
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610654
MEDICARE INDIVIDUAL NO.
TX
Enumeration date
11/19/2007
Last updated
04/13/2020
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