Most Relevant Information
Provider Data
| NPI Number: | 1003378910 |
| Provider Name: | TESS MARYRUTH PATTERSON RD LD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86014019 |
Most Important Dates
| Enumeration Date: | 04/01/2019 |
| Last Updated: | 04/01/2019 |
Provider Practice Location
140 PECAN ST
KELLER
TX
762482215
Practice Location Phone/Fax
| Phone: | 4697359260 |
| Fax: |
Provider Mailing Location
4501 QUEEN CIR
THE COLONY
TX
750563309
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |