Individual
ELAINE MARIE GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
2005 GRISWOLD LN, AUSTIN, TX 78703-3007
(214) 766-4583
Mailing address
2005 GRISWOLD LN, AUSTIN, TX 78703-3007
(214) 766-4583
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86325706
—
133V00000X
Registered Dietitian
DT88336
TX
Other
Enumeration date
01/26/2023
Last updated
01/31/2023
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