Organization
SHELLEY MADSEN & ASSOCIATES, INC.
Active
Other names
Texas Nutrition Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN GOODWIN (PRACTICE ADMINISTRATOR)
(512) 250-9140
Entity
Organization
Contact information
Practice address
5900 BALCONES DR STE 165, AUSTIN, TX 78731-4293
(512) 338-4500
(512) 338-4501
Mailing address
PO BOX 171235, AUSTIN, TX 78717-0042
(512) 250-9140
(512) 250-2207
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066NR
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/08/2006
Last updated
04/08/2019
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