MRS. MARY L HALLIBURTON (NPI# 1366781676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366781676 |
| Entity Type | Individual |
| Full Name | MRS. MARY L HALLIBURTON |
| Credential | RDN,CSR, LD |
| Practice Address |
4741 Joel Drive Apt 33 El Paso TX 79924 |
| Mailing Address |
4741 Joel Dr Apt 33 El Paso TX 79924-6968 |
| Practice Telephone | 9154901718 |
| Practice Fax Number | 9153078678 |
| Mailing Telephone | 9154901718 |
| Mailing Fax Number | 9153078678 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2014-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
DT81903 | TX | Dietary & Nutritional Service Providers |
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
DT81903 | TX | Dietary & Nutritional Service Providers |
| Street Address |
4741 JOEL DRIVE APT 33 |
| City | EL PASO |
| State | TX |
| Zip Code | 79924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| 1306906649 | Caring Medical Equipment LLC | Home Health | 9861 Dyer St. Suite 20, El Paso, TX 79924 | 2006-12-09 |
| Find all providers in zip 79924 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932304771 | Fatima Tabarez Garces | Dietitian, Registered | 3216 Stone Edge Rd, El Paso, TX 79904-2428 | 2007-06-20 |
| 1427323476 | Rebecca Ramirez | Dietitian, Registered | 9314 Juanchido Ln, El Paso, TX 79907-6832 | 2012-03-08 |
| 1851612550 | Katie Peterhans | Dietitian, Registered | 1382 Lomaland Dr, Suite A, El Paso, TX 79935-5204 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383866 | Kelsey Schoenbacher | Dietitian, Registered | 5502 Saratoga Blvd Apt 128, Corpus Christi, TX 78413-2964 | 2018-04-06 |
| 1801336714 | Alexandra Olguin | Dietitian, Registered | 2713 Blake St, Austin, TX 78748-3951 | 2017-02-27 |
| 1821447780 | Healthbex | Dietitian, Registered | 4006 Cherokee Dr, Donna, TX 78537-5844 | 2016-06-10 |
| 1700231610 | Muriel Francine Doyle | Dietitian, Registered | 905 Augusta Dr, Lufkin, TX 75901-7491 | 2016-04-28 |
| 1477939395 | Ellis Avery Morrow | Dietitian, Registered | 11134 Sheldon Bend Dr, Richmond, TX 77406-7290 | 2015-08-03 |
| 1407275712 | International Nephrology Consulting LLC | Dietitian, Registered | 6549 Copperfield Ln, Plano, TX 75023-3464 | 2014-04-15 |
| 1285068627 | Angela Dawn Coleman | Dietitian, Registered | 3402 Brookshire Run, Corinth, TX 76210-4153 | 2013-08-21 |
| 1447691381 | Kim R Wright | Dietitian, Registered | Scott & White Healthcare, 2401 S. 31st St., Temple, TX 76508-0001 | 2013-07-08 |
| 1689923971 | Mimi H Tran | Dietitian, Registered | 3719 Shadow Wick Ln, Houston, TX 77082-5659 | 2012-09-03 |
| 1972874063 | Peggilu Garrett Watkins | Dietitian, Registered | 1504 Azalea Dr, Lufkin, TX 75904-5334 | 2012-01-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.