Healthcare Provider Details

I. General information

NPI: 1033291810
Provider Name (Legal Business Name): INES MARIA ANCHONDO DIETITIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 ALBERTA AVE
EL PASO TX
79905
US

IV. Provider business mailing address

PO BOX 9520
EL PASO TX
79995-9520
US

V. Phone/Fax

Practice location:
  • Phone: 915-545-9795
  • Fax: 915-545-9799
Mailing address:
  • Phone: 915-545-9795
  • Fax: 915-545-9799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDT04861
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License NumberDT04861
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: