Individual
DEBORAH A GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107
(301) 735-7638
Mailing address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(301) 735-7638
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85877
TX
133V00000X
Registered Dietitian
DX2513
MD
Other
Enumeration date
07/07/2006
Last updated
04/30/2019
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