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

Individual provider Registered Dietitian · NPI 1013113133

Mary Ann Fuller, RDLD is a Registered Dietitian in Lake Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
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Practice location Address checks out

415 Springtree Rd
Lake Dallas, TX 75065-2392
Phone: (214) 725-9702
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Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT05158 (TX)

Record details

NPI number1013113133
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDLD
Sole proprietorYes
NPI enumeratedJune 25, 2007
Last updated in NPPESAugust 4, 2015
Mailing address415 Springtree Rd, Lake Dallas, TX 75065-2392

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