Individual
KATHRYN ANN CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2231
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
466579
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
11/04/2018
Last updated
04/23/2019
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