Individual
BETHANY CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCN, RD, LD, CCTD
Contact information
Practice address
945 STOCKTON DR UNIT 6100, ALLEN, TX 75013-6158
(972) 390-7667
Mailing address
15635 MILDRED PL APT 2509, ADDISON, TX 75001-6889
(432) 251-9255
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT89115
TX
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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