Individual
JENNIFER LYNN DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
17520 W GRAND PKWY S STE 110, SUGAR LAND, TX 77479-4759
(281) 239-3777
(281) 239-3744
Mailing address
17520 W GRAND PKWY S STE 110, SUGAR LAND, TX 77479-4759
(281) 239-3777
(281) 239-3744
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382504ZML
MEDICARE PTAN
TX
Enumeration date
12/02/2010
Last updated
10/10/2024
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