MARY WILSON, RD

Dietitian, Registered

Active Individual
NPI: 1366115461

Practice Address

620 E SOUTHLAKE BLVD
Southlake, TX 76092

Phone: (214) 623-6270

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes 86151599 (TX)

Frequently Asked Questions

NPI 1366115461 is the National Provider Identifier for MARY WILSON, RD, a Dietitian, Registered provider located in Southlake, TX. This NPI was enumerated on July 26, 2021.
MARY WILSON, RD practices at 620 E SOUTHLAKE BLVD, Southlake, TX 76092.

Quick Facts

NPI
1366115461
Type
Individual
Enumerated
Jul 26, 2021
Last Updated
Jul 26, 2021

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