Provider Demographics
NPI:1265832133
Name:SEID, MARIA (RD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:SEID
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6545 RUTHERFORD RD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-2368
Mailing Address - Country:US
Mailing Address - Phone:972-838-0660
Mailing Address - Fax:
Practice Address - Street 1:6545 RUTHERFORD RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-2368
Practice Address - Country:US
Practice Address - Phone:972-838-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT83339133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered