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Individual

RICHARD WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD, LD

Contact information

Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-0702
Mailing address
1324 RIVER BIRCH LN, CARROLLTON, TX 75007-1202
(972) 342-4437

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05114
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
853905
COMMISSION ON DIETETIC REGISTRATION
Enumeration date
07/08/2021
Last updated
07/08/2021
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