Marie Collins Custead

Registered Dietitian · Nacogdoches, TX

Individual Active NPI

NPI number 1730638164

Practice location

Sfa Athletic Fieldhouse 712 Hayter St
Nacogdoches, TX 75962-0001
Phone
(936) 468-3506
Fax
(936) 468-4052

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NPI record

NPI
1730638164
Entity type
Individual (Type 1)
Enumeration date
September 27, 2016
Last updated
September 27, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X DT84467 TX

About Marie Custead

Marie Collins Custead is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is Sfa Athletic Fieldhouse 712 Hayter St, Nacogdoches, TX 75962-0001. The NPI number 1730638164 was assigned on September 27, 2016 and the record was last updated on September 27, 2016.

Marie Custead lists a license in the registry: #DT84467 (TX) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marie Collins Custead?

The NPI number is 1730638164.

What is the phone number of Marie Custead?

The phone number listed for the practice location is (936) 468-3506.

Where is Marie Custead located?

Sfa Athletic Fieldhouse 712 Hayter St, Nacogdoches, TX 75962-0001.

What is the taxonomy code for Marie Custead?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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