Individual
RANDALL TREY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, LD
Contact information
Practice address
1210 W BRAKER LN, AUSTIN, TX 78758-3801
(512) 978-9300
Mailing address
1210 W BRAKER LN, AUSTIN, TX 78758-3801
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85321
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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