Individual
NORMA SUE THYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
31002 LA QUINTA DR, GEORGETOWN, TX 78628-1173
(512) 945-0632
Mailing address
31002 LA QUINTA DR, GEORGETOWN, TX 78628-1173
(512) 945-0632
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83086
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT83086
STATE LICENSE
TX
Enumeration date
10/24/2018
Last updated
10/24/2018
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