MEDICARE: MRS. DEBRA JEAN HILLIARD-JONES 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	DTO4755	TX

General Provider Information

NPI Number	:	1699914796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBRA JEAN HILLIARD-JONES RD, LD

Provider Business Mailing Address
First Line	:	3808 BERKSHIRE CT
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-3003
Country	:	US
Telephone Number	:	817-858-9388
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 AIRPORT FWY
Second Line	:	SUITE 310
City	:	BEDFORD
State	:	TX
Zip	:	76022-6850
Country	:	US
Telephone Number	:	817-858-9388
Fax Number	:

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

Provider Enumeration Date	:	02/12/2009
Last Update Date	:	02/12/2009

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