Autry, Mary Ellen P

Autry, Mary Ellen P is an individual health care provider with primary practice located at 12221 Mopac Expressway North , Austin TX 78758-2483. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Autry, Mary Ellen P can be contacted via phone (512) 901-4005.

Contact Information

Primary practice address
12221 Mopac Expressway North Austin TX 78758-2483
Fax: (512) 901-3905
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT04637 Texas

Profile Details

NPI number 1578607255
LBN Legal business name Autry, Mary Ellen P
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jan 31st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers