Beth Shields RD, LD, CNSD, MS

NPI 1073503926 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1073503926
Gender Female
Enumeration Date 10/24/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3851 ROGER BROOKE DR
BROOKE ARMY MEDICAL CENTER; ATTN:MCHE-QD CREDENTIALS
FORT SAM HOUSTON TX, 78234-4501, US
Phone (210) 916-1032
Fax
Business Location
20506 BLUE TRINITY
SAN ANTONIO TX, 78259-2342, US
Phone (210) 495-6700
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Tennessee
License Number 898852
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According to our database, Beth Shields RD, LD, CNSD, MS NPI is 1073503926, taxonomy code is 133V00000X and license number is 898852, license state is located at Tennessee. Beth Shields RD, LD, CNSD, MS physically located at 3851 Roger Brooke Dr, Fort Sam Houston TX, 78234-4501. NPI Number Beth Shields RD, LD, CNSD, MS has the Individual type.

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1073503926 NPI number is provided on an as is basis without warranty of any kind. 1073503926 is maintained by the National Plan & Provider Enumeration System. The contents of Beth Shields RD, LD, CNSD, MS are for informational purposes only.