Individual
MARY ELLEN P AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4005
(512) 901-3905
Mailing address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4005
(512) 901-3905
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT04637
TX
Other
Enumeration date
02/16/2007
Last updated
01/31/2008
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