NPI 1417241175

Carolyn Wyly

Practitioner Registered Dietetic Technician Houston, TX

Practice location

Address: 2620 Tanglewilde St, Houston, TX 77063-3203
Phone: (713) 860-8383
Fax: (713) 860-8384

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence DT04433 (TX)

Other Dietetic Technician, Registered providers in Texas →

Registry record

NPI: 1417241175
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2011
Record last updated: 30 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.