Individual
MARY L ALBARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
2222 MORGAN AVE STE 113, CORPUS CHRISTI, TX 78405-1993
(361) 882-5417
Mailing address
2222 MORGAN AVE STE 113, CORPUS CHRISTI, TX 78405-1993
(361) 882-5417
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT01160
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09710002
CERTIFIED DIABETES EDUCATOR
—
01
—
DT01160
STATE LIC.
TX
01
—
R383258
REGISTERED DIETITIAN
—
Enumeration date
03/29/2007
Last updated
12/20/2010
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