Individual
IRAIDES CAMPUZANO MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(512) 803-9353
Mailing address
5106 PAR CV APT B, AUSTIN, TX 78744-3776
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT90398
TX
Other
Enumeration date
06/06/2026
Last updated
06/06/2026
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