Individual
ANGELINA S BANUELOS-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1314 HAWKS MDW, SAN ANTONIO, TX 78248-1571
(323) 854-7128
Mailing address
1314 HAWKS MDW, SAN ANTONIO, TX 78248-1571
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
993427
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
993427
CDR
—
01
—
DT80997
TDLR
TX
Enumeration date
01/06/2026
Last updated
01/06/2026
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