Individual
MR. DEHORNE SIA
Active
Individual
MR. DEHORNE SIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT82704
TX STATE BOARD LISCENSE
TX
Enumeration date
03/21/2014
Last updated
11/30/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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