Individual
CHRISTINA WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1621 N BELT LINE RD, MESQUITE, TX 75149-1794
(972) 682-5700
Mailing address
2727 KINGS RD APT 3117, DALLAS, TX 75219-7423
(972) 679-1068
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86289951
CDR (COMMISSION ON DIETETIC REGISTRATION)
—
Enumeration date
10/07/2022
Last updated
10/07/2022
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