Provider Demographics
NPI:1275739609
Name:MCPHERSON, DEBORAH (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 60580
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79711-0580
Mailing Address - Country:US
Mailing Address - Phone:432-563-2380
Mailing Address - Fax:432-561-4377
Practice Address - Street 1:2811 LAFORCE BLVD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79711-0580
Practice Address - Country:US
Practice Address - Phone:432-563-2380
Practice Address - Fax:432-561-4377
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT00253133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered