Individual
MRS. BECKY LYNN KUBICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
600 N PARK ST, BRENHAM, TX 77833-2610
(979) 337-5800
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT03857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
727176
COMMISSION ON DIETETIC RG
—
Enumeration date
11/15/2006
Last updated
12/09/2020
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