Individual
MS. LEAH ANN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN,LD
Contact information
Practice address
2211 HIGH COUNTRY DR, CARROLLTON, TX 75007-1701
(214) 673-8632
Mailing address
2211 HIGH COUNTRY DR, CARROLLTON, TX 75007-1701
(214) 673-8632
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
807607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13343654
—
TX
Enumeration date
09/15/2020
Last updated
09/15/2020
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