Individual
SANDRA FOX LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
9502 HUEBNER ROAD, SUITE 301, SAN ANTONIO, TX 78240
(210) 478-5300
Mailing address
7802 BRAUN BND, SAN ANTONIO, TX 78250-2681
(210) 478-5300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80157
TX
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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