Stacie K Haller, REGISTEREDDIETITIAN
Stacie K Haller, REGISTEREDDIETITIAN is a Registered Dietitian OR Nutrition Professional in San Antonio, Texas. Qualified in 2001, 25 years ago. Practices with Diabetes and Glandular Disease Clinic PA, a 9-clinician group and accepts Medicare assignment.
- Years since qualifying
- 25
- In the registry since
- 2006
Practice location Address checks out
5107 Medical DrSan Antonio, TX 78229
Phone: (210) 614-8612
Fax: (210) 615-5596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X |
|---|
Record details
| NPI number | 1528176526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | REGISTEREDDIETITIAN |
| Sole proprietor | No |
| NPI enumerated | August 29, 2006 |
| Last updated in NPPES | September 3, 2015 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Diabetes And Glandular Disease Clinic Pa — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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