Individual provider · Type 1 NPI

Mary Elise Wallace, MSRD/LD

Registered Dietitian · Rockwall, TX

NPI number 1013451608 Active

Practice location

6705 Heritage Pkwy Ste 104
Rockwall, TX 75087-8729

Mailing address

PO Box 127
Rockwall, TX 75087-0127

Other practice locations

  • 3600 Gaston Ave, Suite 656, Dallas, TX 75246-1800 · (214) 820-3896

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XDT03189 (TX)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

5 other providers at this address

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About NPI 1013451608

Mary Elise Wallace, MSRD/LD's National Provider Identifier is 1013451608, issued on Dec 15, 2016. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Rockwall, TX. The record was last updated on Aug 12, 2021.