Individual
ADDIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
740 SCOTTSDALE DR, RICHARDSON, TX 75080-6009
(214) 457-0811
Mailing address
740 SCOTTSDALE DR, RICHARDSON, TX 75080-6009
(214) 457-0811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Z137
MEDICARE
TX
Enumeration date
02/10/2018
Last updated
01/08/2021
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