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Individual

CASSANDRA ELVIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN, LD

Contact information

Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-1990
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-6121

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88404
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
TX

Other

Enumeration date
04/04/2023
Last updated
02/24/2026
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