Individual
ELIZABETH A NEUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
110 PONY EXPRESS TRL, WILLOW PARK, TX 76087-3132
(817) 995-4677
Mailing address
110 PONY EXPRESS TRL, WILLOW PARK, TX 76087-3132
(817) 995-4677
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194778001
—
TX
01
—
8AH959
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/30/2007
Last updated
07/03/2012
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