Individual
REGINA GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 266-0000
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 266-0000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT86557
TEXAS DEPARTMENT OF LICENSING AND REGISTRATION
TX
Enumeration date
08/03/2021
Last updated
08/03/2021
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