Most Relevant Information
Provider Data
| NPI Number: | 1003404021 |
| Provider Name: | IRENE VIELMA |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | DT86141 |
Most Important Dates
| Enumeration Date: | 01/05/2021 |
| Last Updated: | 01/05/2021 |
Provider Practice Location
250 UNIVERSITY BLVD
ROUND ROCK
TX
786651044
Practice Location Phone/Fax
| Phone: | 8305139882 |
| Fax: |
Provider Mailing Location
9415 MCNEIL DR APT 918
AUSTIN
TX
787508568
Provider Mailing Phone/Fax
| Phone: | 8305139882 |
| Fax: |