Individual
ROBERTO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, LD, CDE
Contact information
Practice address
8198 WALNUT HILL LN, JACKSON LL, DIABETES EDUCATION CENTER, DALLAS, TX 75231-4316
(214) 345-4330
Mailing address
1710 AUDREY DR, GARLAND, TX 75040-5530
(713) 306-8025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21110156
NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
—
01
—
DT07370
TX LICENSED DIETITIAN
TX
Enumeration date
03/20/2006
Last updated
01/16/2013
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