Individual
MRS. ELLEN RHEA DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-7534
(214) 559-8394
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-7534
(214) 559-8394
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT04732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
814389
CDR REGISTERED DIETITIAN
—
01
—
DT04732
TEXAS LISCENSED DIETITIAN
TX
Enumeration date
03/23/2016
Last updated
03/23/2016
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