Individual
CATHERINE LEAH ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
920 SHILOH ROAD, SUITE 120, TYLER, TX 75703
(903) 939-2800
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83400
TX
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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