Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ANN FULLER, RD LD
Active Sole ProprietorMARY ANN FULLER, RD LD is a Registered Dietitian healthcare provider located in LAKE DALLAS, Texas. NPI 1013113133 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · LAKE DALLAS, TX
Registration Details
- NPI Number
- 1013113133
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2007 (19.130472669519 yrs)
- Last Updated
- Aug 4, 2015
- License
-
DT05158 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 SPRINGTREE RDLAKE DALLAS, TX, 750652392Browse TX providers · Browse ZIP 75065
- Phone
- 2147259702
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in LAKE DALLAS, TX
| Name | Credential | NPI |
|---|---|---|
| KATHY L. KING | R.D.N. | 1689083859 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.