Individual
MRS. SANDRA GARZA BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN/LD
Contact information
Practice address
825 LAKESIDE BLVD, BROWNSVILLE, TX 78520-7616
(956) 546-4898
(956) 517-1015
Mailing address
14 RIO CT, BROWNSVILLE, TX 78526-2002
(956) 546-4898
(956) 517-1015
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT05843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150179305
—
TX
01
—
331097
PTAN
—
Enumeration date
05/14/2007
Last updated
05/23/2022
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