Individual
NATALIE BLAYKE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
401 N CARROLL AVE # 179, SOUTHLAKE, TX 76092-6407
(214) 517-7155
Mailing address
401 N CARROLL AVE # 179, SOUTHLAKE, TX 76092-6407
(214) 517-7155
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86373296
TX
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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