Individual
MIA RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2796
(682) 885-4000
Mailing address
4708 BEHRENS CT, COLLEYVILLE, TX 76034-4345
(817) 692-1611
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT93224
TX
133V00000X
Registered Dietitian
Primary
TEMPMJ
TX
Other
Enumeration date
05/29/2026
Last updated
06/05/2026
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