Individual
PURVI DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSLDRD
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4005
(512) 901-3905
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4005
(512) 901-3905
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
836153
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01409924
RRMC PTAN
TX
Enumeration date
04/29/2010
Last updated
11/10/2015
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