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

Colton Ray Jakubisin

Individual provider Registered Dietitian · NPI 1780470765

Colton Ray Jakubisin is a Registered Dietitian in Victoria, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

2402 N Ben Wilson St Apt 2101
Victoria, TX 77901-5077
Phone: (817) 308-2006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT92096 (TX)

Record details

NPI number1780470765
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2025
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

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