Individual
ELYSE B HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2901 MONTOPOLIS DR, AUSTIN, TX 78741-6411
(512) 978-9901
(512) 901-9765
Mailing address
2115 KRAMER LN STE 100, AUSTIN, TX 78758-4013
(512) 978-9901
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
81697
TX
Other
Enumeration date
06/07/2019
Last updated
04/07/2020
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