Individual
STACY NICHOLE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
941 HIGH LOW DR, NEW BRAUNFELS, TX 78132-4214
(830) 632-6515
(830) 632-6515
Mailing address
941 HIGH LOW DR, NEW BRAUNFELS, TX 78132-4214
(830) 632-6515
(830) 632-6515
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81646
TX
Other
Enumeration date
10/10/2012
Last updated
08/07/2023
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