Most Relevant Information
Provider Data
| NPI Number: | 1003427758 |
| Provider Name: | MONICA SHIELDS RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | DT86197 |
Most Important Dates
| Enumeration Date: | 08/14/2020 |
| Last Updated: | 09/14/2020 |
Provider Practice Location
800 SCOTT AND WHITE DR
COLLEGE STATION
TX
778456440
Practice Location Phone/Fax
| Phone: | 9792074187 |
| Fax: |
Provider Mailing Location
PO BOX 844658
DALLAS
TX
752844658
Provider Mailing Phone/Fax
| Phone: | 2547242111 |
| Fax: |