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Individual

CRAIG RYAN GOTCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD,LD

Contact information

Practice address
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1053
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81043
TX

Other

Enumeration date
11/12/2012
Last updated
02/25/2021
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