Individual
ALLEN DOUGLAS SPROUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD, CDE
Contact information
Practice address
3000 HERRING AVE, WACO, TX 76708-3239
(254) 202-5954
Mailing address
5901 DENMANS LOOP, BELTON, TX 76513-4751
(254) 939-0440
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07285
TX
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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