Individual
CARLA COS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
5900 BALCONES DR STE 165, AUSTIN, TX 78731
(512) 338-4500
Mailing address
PO BOX 171235, AUSTIN, TX 78717-0042
(512) 250-9140
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/27/2017
Last updated
06/27/2018
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