Provider Demographics
NPI:1457481459
Name:SOLIZ, BRANDI (RD, LD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:
Last Name:SOLIZ
Suffix:
Gender:F
Credentials:RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8109 TWIN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-8533
Mailing Address - Country:US
Mailing Address - Phone:972-747-6149
Mailing Address - Fax:972-747-6060
Practice Address - Street 1:1105 CENTRAL EXPY N
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6103
Practice Address - Country:US
Practice Address - Phone:972-747-6149
Practice Address - Fax:972-747-6060
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT05183133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered