Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Wyly

Individual provider Registered Dietetic Technician · NPI 1417241175

Carolyn Wyly is a Registered Dietetic Technician in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2011
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Practice location Address checks out

2620 Tanglewilde St
Houston, TX 77063-3203
Phone: (713) 860-8383
Fax: (713) 860-8384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietetic Technician (primary) Taxonomy 136A00000X · Licence DT04433 (TX)

Record details

NPI number1417241175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 30, 2011
Last updated in NPPESMay 30, 2011

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