MEDICARE: JANETTE HASBUN RD,LD

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
1	133V00000X	Registered Dietitian	DT82271	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DT82271	OTHER	TX	LICENSED DIETITIAN

General Provider Information

NPI Number	:	1205101961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANETTE HASBUN RD,LD

Provider Business Mailing Address
First Line	:	5121 N MCCOLL RD # 1003
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2331
Country	:	US
Telephone Number	:	956-221-2825
Fax Number	:

Provider Business Practice Location Address
First Line	:	5121 N MCCOLL RD # 1003
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2331
Country	:	US
Telephone Number	:	956-221-2825
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2012
Last Update Date	:	05/15/2026

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