Individual
SAMMANTHA LEA KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(325) 439-0239
Mailing address
4777 MEMORIAL DR APT 452, THE COLONY, TX 75056-2815
(325) 439-0239
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86088090
COMMISSION ON DIETETIC REGISTRATION
—
01
—
DT85762
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
04/25/2025
Last updated
04/25/2025
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