Individual
MRS. CORINA MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D., C.N.S.D.
Contact information
Practice address
1935 MOTOR ST, DALLAS, TX 75235-7701
(214) 456-6066
(214) 456-6287
Mailing address
1421 BERNE LN, LEWISVILLE, TX 75067-6046
(972) 420-4647
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT05777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15567301
—
TX
01
—
872883
REGISTERED DIETITIAN
TX
01
—
DT05777
DIETITIAN LICENSE
TX
Enumeration date
09/14/2006
Last updated
07/08/2007
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