Individual
MRS. MARY ELLEN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CLT
Contact information
Practice address
200 GINKGO CIR, IRVING, TX 75063-3481
(214) 496-9973
Mailing address
200 GINKGO CIR, IRVING, TX 75063-3481
(214) 496-9973
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81114
TX
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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