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NPI Code Detail

MEDICARE: MIRTA YOLANDA PARRA RD, LD, CDE

MEDICARE:   MIRTA YOLANDA PARRA  RD, LD, CDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDT82888TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DT82888OTHERTXREGISTERED DIETITIAN

General Provider Information

NPI Number : 1114430881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRTA YOLANDA PARRA RD, LD, CDE
Provider Business Mailing Address
First Line : 1827 CAPLIN DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-4958
Country : US
Telephone Number : 214-457-2904
Fax Number :
Provider Business Practice Location Address
First Line : 1827 CAPLIN DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-4958
Country : US
Telephone Number : 214-457-2904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2017
Last Update Date : 08/08/2025

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Directions to “ MIRTA YOLANDA PARRA RD, LD, CDE” Practice Location

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