Individual provider · Type 1 NPI

Mary Wilson, RD

Registered Dietitian · Southlake, TX

NPI number 1366115461 Active

Practice location

620 E Southlake Blvd
Southlake, TX 76092-6236

Call (214) 623-6270 Map

Other practice locations

  • 505 S Nolen Dr, Southlake, TX 76092-9167 · (214) 623-6270

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X86151599 (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…

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About NPI 1366115461

Mary Wilson, RD's National Provider Identifier is 1366115461, issued on Jul 26, 2021. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Southlake, TX. The record was last updated on Jul 26, 2021.