Individual
MRS. CORINNA ORMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD. LD
Contact information
Practice address
619 S FLEISHEL AVE STE 327, TYLER, TX 75701-2019
(903) 606-4848
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82270
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337110601
—
TX
05
—
337110602
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
75-2616977-017
TRICARE
TX
01
—
75-2616977-042
TRICARE
TX
01
—
75-2616977-124
TRICARE
TX
01
—
8EG498
BCBS
TX
01
—
8EY388
BCBS
TX
01
—
P01443786
RAIL ROAD MEDICARE
TX
Enumeration date
03/12/2014
Last updated
01/29/2025
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