Individual
ALLISON ANN CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8010
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-7661
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306762101
—
TX
01
—
540042100
FIRSTCARE
TX
01
—
8DF937
BCBS
TX
Enumeration date
12/13/2010
Last updated
12/10/2012
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