MEDICARE: MRS. ALLISON BEACH MS, RDN, CSR, 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	DT83397	TX

General Provider Information

NPI Number	:	1437534211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLISON BEACH MS, RDN, CSR, LD

Provider Business Mailing Address
First Line	:	2104 LARKSPUR DR
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4134
Country	:	US
Telephone Number	:	469-892-8518
Fax Number	:	469-896-4824

Provider Business Practice Location Address
First Line	:	481 SHILOH RD # 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-7231
Country	:	US
Telephone Number	:	469-892-8518
Fax Number	:	469-896-4824

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

Provider Enumeration Date	:	07/22/2015
Last Update Date	:	01/16/2026

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