Individual
SUSAN RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.
Contact information
Practice address
1250 8TH AVE STE 135, FORT WORTH, TX 76104-4156
(817) 923-8050
(817) 920-0562
Mailing address
1420 VICEROY DR, DALLAS, TX 75235-2208
(214) 358-2300
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
LD 5675
OH
133V00000X
Registered Dietitian
Primary
DT84978
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT84978
COMMISSION ON DIETETIC REGISTRATION
TN
01
—
RHMT73321
PIN NUMBER
OH
Enumeration date
07/05/2006
Last updated
04/17/2019
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