Healthcare Provider Details

I. General information

NPI: 1295509032
Provider Name (Legal Business Name): GABRIELA SANCHEZ RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 11/13/2023
Certification Date: 11/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8107 MANDERVILLE LN APT 1347
DALLAS TX
75231-4031
US

IV. Provider business mailing address

8107 MANDERVILLE LN APT 1347
DALLAS TX
75231-4031
US

V. Phone/Fax

Practice location:
  • Phone: 956-754-9329
  • Fax:
Mailing address:
  • Phone: 956-754-9329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License NumberDT85995
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: