Individual
MARGARET M DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNT
Contact information
Practice address
1001 W EAGLE DR, DECATUR, TX 76234-3745
(940) 627-7440
(940) 627-7464
Mailing address
1001 W EAGLE DR, DECATUR, TX 76234-3745
(940) 627-7440
(940) 627-7464
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT05516
LICENSE
TX
Enumeration date
07/03/2007
Last updated
07/08/2007
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