Individual
MS. KACIE LYNN BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(281) 222-6260
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(281) 222-6260
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT80949
TX
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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