MEDICARE: ALISON K PELZ RD,CDE,LCSW

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	DT07154	TX
2	1041C0700X	Clinical Social Worker	40198	TX

General Provider Information

NPI Number	:	1902846512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON K PELZ RD,CDE,LCSW

Provider Business Mailing Address
First Line	:	2525 WALLINGWOOD DR STE 800
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-6900
Country	:	US
Telephone Number	:	512-293-5770
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 WALLINGWOOD DR STE 800
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-6900
Country	:	US
Telephone Number	:	512-293-5770
Fax Number	:

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	06/25/2025

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