Individual
CHRISTINE COLLYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CSP
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-1092
(210) 916-5634
Mailing address
2492 STANLEY RD, JBSA FT SAM HOUSTON, TX 78234-5500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT80391
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT80391
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
DT80391
TX
Other
Enumeration date
03/05/2008
Last updated
08/04/2023
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