Individual
HAYLEY TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1200 BROMBERG ST APT 3104, MINEOLA, TX 75773-2841
(318) 572-6157
(800) 708-7349
Mailing address
1200 BROMBERG ST APT 3104, MINEOLA, TX 75773-2841
(318) 572-6157
(800) 708-7349
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86146329
CDR
TX
01
—
DT86726
RDL
—
Enumeration date
07/16/2021
Last updated
07/16/2021
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