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

Justin Pelham, MSRDLD

Individual provider Registered Dietitian · NPI 1548671035

Justin Pelham, MSRDLD is a Registered Dietitian in Nacogdoches, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014

Practice location Address checks out

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone: (936) 569-9481
Fax: (936) 568-3365
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT82286 (TX)

Record details

NPI number1548671035
Entity typeIndividual (Type 1)
GenderMale
Credentials MSRDLD
Sole proprietorNo
NPI enumeratedMay 19, 2014
Last updated in NPPESMay 19, 2014
Mailing address4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254

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