Individual
SARA UPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, RD, LD
Contact information
Practice address
100 INDEPENDENCE PL STE 201, TYLER, TX 75703-1327
(903) 312-8906
Mailing address
100 INDEPENDENCE PL STE 201, TYLER, TX 75703-1327
(903) 312-8906
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82055
TX
Other
Enumeration date
05/09/2012
Last updated
01/19/2023
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