Individual
MRS. CHRISTIE DIANE BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
802 WESTWOOD ST, VICTORIA, TX 77901-4792
(361) 935-5823
(866) 647-1554
Mailing address
802 WESTWOOD ST, VICTORIA, TX 77901-4792
(361) 935-5823
(866) 647-1554
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
951652
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
951652
TEXAS LICENSURE
TX
Enumeration date
08/12/2008
Last updated
08/12/2008
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