DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SUSAN THOMAS JASTROW, RD, LD, CDE

Active Sole Proprietor

MRS. SUSAN THOMAS JASTROW, RD, LD, CDE is a Registered Dietitian healthcare provider located in ROUND MOUNTAIN, Texas. NPI 1215161104 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · ROUND MOUNTAIN, TX

Registration Details

NPI Number
1215161104
Provider Type
Individual
Gender
Female
NPI Issued
May 7, 2009 (17.283472741193 yrs)
Last Updated
Apr 25, 2013
License
DT04706 (TX)
Sole Proprietor
Yes

Practice Information

Address
1242 PT RANCH RD
ROUND MOUNTAIN, TX, 786635990
Browse TX providers · Browse ZIP 78663
Phone
5124664407
Primary Specialty
Registered Dietitian
133V00000X
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.