Maggie Aznavour, MS, RDN, RD

Individual provider Active NPI Registered Dietitian · Prosper, TX

NPI 1497536627 · NPPES record last updated Oct 19, 2023

Key facts

NPI
1497536627
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DT89106 (TX)
Practice address
130 S Preston Rd Ste 30
Prosper, TX 75078-3068
Phone
(940) 222-2399
Fax
(940) 228-1298
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT89106TXMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT89106 TX Yes

Addresses

Primary practice location

130 S Preston Rd Ste 30
Prosper, TX 75078-3068

Mailing address

2406 Norwich Dr
Carrollton, TX 75006-2633
Phone (214) 517-2164

Other providers in Prosper, TX

All providers in Prosper, TX · Registered Dietitian in Texas

Sources for this page

Verify at the official NPI Registry.