Marka Shannon Dempsey

Individual provider Active NPI Registered Dietitian · Hereford, TX

NPI 1992275820 · NPPES record last updated Dec 4, 2018

Key facts

NPI
1992275820
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DT00842 (TX)
Practice address
540 W 15TH St
Hereford, TX 79045-2820
Phone
(806) 349-9124
Fax
(806) 349-9379
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DT00842TXMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT00842 TX Yes

Addresses

Primary practice location

540 W 15TH St
Hereford, TX 79045-2820

Mailing address

540 W 15TH St
Hereford, TX 79045-2820
Phone (806) 349-9124

Other providers in Hereford, TX

All providers in Hereford, TX · Registered Dietitian in Texas

Sources for this page

Verify at the official NPI Registry.