Individual
DESIREE JAMIE HEINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
1935 MOTOR ST, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
4225 THREADGILL ST, AUSTIN, TX 78723-4548
(214) 676-0036
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT07486
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133VN1004X
CHILDREN'S HOSPITAL
TX
Enumeration date
06/14/2007
Last updated
04/17/2014
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