Individual
KATHERINE OETKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2800 SHORELINE DR, DENTON, TX 76210-0128
(940) 383-1240
Mailing address
4001 WATONGA BLVD APT 3211, HOUSTON, TX 77092-5346
(210) 310-8292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT83977
—
TX
Enumeration date
12/21/2018
Last updated
12/21/2018
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