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
Phone: (512) 901-4005
Fax: (512) 901-3905
Website:
Health care specialties
Specialty | Code | License # | 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.
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