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Individual

HEBA MOUNTASER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD,LD

Contact information

Practice address
12105 WALDEN WOOD DR, FORT WORTH, TX 76244-5573
(507) 202-8376
Mailing address
12105 WALDEN WOOD DR, FORT WORTH, TX 76244-5573
(507) 202-8376

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86171843
TX
133V00000X
Registered Dietitian
DT87578
TX

Other

Enumeration date
12/12/2022
Last updated
12/12/2022
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