Individual
MS. REBECCA WHEAT FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.L.D.
Contact information
Practice address
1930 COUNTRY CLUB BLVD, SUGAR LAND, TX 77478-3910
(281) 242-2368
(281) 242-7894
Mailing address
1930 COUNTRY CLUB BLVD, SUGAR LAND, TX 77478-3910
(281) 242-2368
(281) 242-7894
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT04457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT04457
LD NUMBER
TX
Enumeration date
08/21/2006
Last updated
07/08/2007
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