Individual provider · Type 1 NPI

Jaton Pankau, R.D./L.D.

Pediatric Nutrition Registered Dietitian · Dallas, TX

NPI number 1972789055 Active

Practice location

1935 Motor St
Dallas, TX 75235-7701

Call (214) 456-4628 Map

Fax (214) 456-6287

Mailing address

15544 Brookhollow Cir
Forney, TX 75126-5200

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XDT80705 (TX)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1972789055

Jaton Pankau, R.D./L.D.'s National Provider Identifier is 1972789055, issued on Jan 18, 2008. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Dallas, TX. The record was last updated on Jan 18, 2008.