Individual
REBECCA TILDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCN, RD, LD
Contact information
Practice address
14651 DALLAS PKWY STE 132, DALLAS, TX 75254-8864
(314) 398-5065
Mailing address
520 GREENLEAF DR, RICHARDSON, TX 75080-5630
(314) 398-5065
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86227
TX
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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