Individual
MRS. MEGAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1935 MOTOR ST, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-8493
(214) 456-6287
Mailing address
5423 GLENWICK LN, DALLAS, TX 75209-5009
(214) 353-8583
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT05733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
875007
REGISTATION
TX
01
—
DT05733
LISENCE
TX
Enumeration date
09/13/2006
Last updated
07/08/2007
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