Individual
MS. CARRIE O SLEZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
321 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6188
(817) 488-4186
Mailing address
1209 BAY MEADOWS DR, SOUTHLAKE, TX 76092-3936
(773) 882-4312
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164004392
IL
133V00000X
Registered Dietitian
Primary
DT88105
TX
Other
Enumeration date
02/15/2010
Last updated
12/11/2025
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