Reyes, Jacqueline Grace
Reyes, Jacqueline Grace is an individual health care provider with primary practice located at 819 Water St Ste 300, Kerrville TX 78028-5333. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Reyes, Jacqueline Grace can be contacted via phone (830) 258-5430.Contact Information
Primary practice address
819 Water St Ste 300
Kerrville TX 78028-5333
Phone: (830) 258-5430
Fax: (830) 792-5771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DT03847 | Texas |
Profile Details
| NPI number | 1902123003 |
|---|---|
| LBN Legal business name | Reyes, Jacqueline Grace |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2010 |
| Last updated | Apr 28th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902123003 | NPPES |
| Texas | Other | DT03847 | LICENSE |
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