Individual
KATHLEEN A EUSTACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390
(214) 645-5722
(214) 645-7501
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-5722
(214) 645-7501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81625
TX
Other
Enumeration date
05/04/2011
Last updated
09/07/2018
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