Individual
MRS. STACEY BARTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
5895 SAN FELIPE ST, HOUSTON, TX 77057-3061
(855) 481-1149
Mailing address
3810 LAW ST APT 216, HOUSTON, TX 77005-1283
(512) 731-3772
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86086306
TX
Other
Enumeration date
01/24/2018
Last updated
11/19/2019
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