Provider Demographics
NPI:1043815137
Name:ANKNER, LINDA (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:ANKNER
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9919 HUTTON PARK DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5897
Mailing Address - Country:US
Mailing Address - Phone:404-931-9083
Mailing Address - Fax:
Practice Address - Street 1:9919 HUTTON PARK DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5897
Practice Address - Country:US
Practice Address - Phone:404-931-9083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82685133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered