DARLA DANIEL O'DWYER DT NPI 1447475298

NPI Information

NPI: 1447475298
Provider Name: DARLA DANIEL O'DWYER, DT
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
2606 N PECAN ST
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 552-9901
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Darla Daniel O'dwyer, DT is a nutrition and metabolic dietitian registered in Nacogdoches, TX. Darla Daniel O'dwyer, DT NPI is 1447475298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2606 N PECAN ST
NACOGDOCHES, TX
ZIP 75965-546
Phone: (936) 552-9901

The enumeration date for this NPI number is 4/16/2007 and was last updated on 8/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1004X	Dietitian, Registered	Nutrition, Pediatric	DT05074	TEXAS	No
2	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	DT05074	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	182303101	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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