Individual
PAT A WISNIOWIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
504 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(936) 539-7497
Mailing address
504 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(936) 539-7497
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00309
TX
Other
Enumeration date
05/06/2008
Last updated
09/07/2010
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