Individual
AMY HOLCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-2134
(214) 456-6287
Mailing address
1935 MEDICAL DISTRICT DR, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-2134
(214) 456-6287
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT07127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
926324
REGISTERED DIETITIAN
TX
01
—
DT07127
LICENSED DIETITIAN
TX
Enumeration date
11/24/2014
Last updated
07/25/2019
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