Individual
CLARICE MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
17806 IH 10 W STE 300, SAN ANTONIO, TX 78257-8222
(210) 876-5188
Mailing address
PO BOX 761045, SAN ANTONIO, TX 78245-6045
(210) 876-5188
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81365
TX
Other
Enumeration date
08/27/2010
Last updated
10/01/2023
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