Provider Demographics
NPI:1427204841
Name:DELGADO-EBERHARDT, CHRISTINA MARGARET (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARGARET
Last Name:DELGADO-EBERHARDT
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7701 BROADWAY ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-3231
Mailing Address - Country:US
Mailing Address - Phone:210-826-7447
Mailing Address - Fax:210-826-7440
Practice Address - Street 1:7701 BROADWAY ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-3231
Practice Address - Country:US
Practice Address - Phone:210-826-7447
Practice Address - Fax:210-826-7440
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07485133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered