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

Leticia Wallace, RD, LD

Individual provider Registered Dietitian · NPI 1891022828

Leticia Wallace, RD, LD is a Registered Dietitian in Austin, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

211 Comal St
Austin, TX 78702-4326
Phone: (512) 978-8130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT80777 (TX)

Record details

NPI number1891022828
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedNovember 12, 2009
Last updated in NPPESOctober 18, 2025
Certification dateOctober 18, 2025
Mailing address1111 E Cesar Chavez St, Austin, TX 78702-4209

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