Individual
ANGELICA G TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1250 8TH AVE STE 135, FORT WORTH, TX 76104-4156
(817) 923-8050
(817) 920-0562
Mailing address
912 S. ERVAY ST, THIRD FLOOR ROOM 307, DALLAS, TX 75201-6420
(972) 794-4569
(972) 794-4573
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80472
TX
133VN1005X
Renal Nutrition Registered Dietitian
DT080472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT080472
MEDICAL LICENSE
TX
Enumeration date
01/29/2009
Last updated
03/15/2019
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