Individual
MISS ANNA GORGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1901 GATEWAY DR, 175, IRVING, TX 75038-2471
(214) 596-9302
Mailing address
1445 SAINT GALLEN LANE, LEWISVILLE, TX 75067
(214) 998-0709
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81166
TX
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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