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

Mary Wilson, RD

Individual provider Registered Dietitian · NPI 1366115461

Mary Wilson, RD is a Registered Dietitian in Southlake, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2021
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

620 E Southlake Blvd
Southlake, TX 76092-6236
Phone: (214) 623-6270
Show map & directions

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

Additional practice locations (1)

  • 505 S Nolen Dr, Southlake, TX 76092-9167 — (214) 623-6270

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86151599 (TX)

Record details

NPI number1366115461
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJuly 26, 2021
Last updated in NPPESJuly 26, 2021
Certification dateJuly 23, 2021
Mailing address620 E Southlake Blvd, Southlake, TX 76092-6236

Other providers in Southlake