Most Relevant Information
Provider Data
| NPI Number: | 1003341447 |
| Provider Name: | ALLISON CONKLIN RDLD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | DT84371 |
Most Important Dates
| Enumeration Date: | 04/24/2017 |
| Last Updated: | 04/24/2017 |
Provider Practice Location
3840 HULEN ST
FORT WORTH
TX
761077277
Practice Location Phone/Fax
| Phone: | 8175694300 |
| Fax: |
Provider Mailing Location
3840 HULEN ST
FORT WORTH
TX
761077277
Provider Mailing Phone/Fax
| Phone: | 8175694300 |
| Fax: |