Provider Demographics
NPI:1467569236
Name:MURRAY, CELIZE MARANDA (RD/LD)
Entity Type:Individual
Prefix:MRS
First Name:CELIZE
Middle Name:MARANDA
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RD/LD
Other - Prefix:
Other - First Name:CELIZE
Other - Middle Name:MARANDA
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 CR 2998
Mailing Address - Street 2:
Mailing Address - City:WINDOM
Mailing Address - State:TX
Mailing Address - Zip Code:75942-4034
Mailing Address - Country:US
Mailing Address - Phone:903-227-4067
Mailing Address - Fax:
Practice Address - Street 1:1201 E 9TH ST
Practice Address - Street 2:
Practice Address - City:BONHAM
Practice Address - State:TX
Practice Address - Zip Code:75418-4059
Practice Address - Country:US
Practice Address - Phone:800-924-8387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2022-07-21
Deactivation Date:2006-09-20
Deactivation Code:
Reactivation Date:2017-09-11
Provider Licenses
StateLicense IDTaxonomies
TXDT07440133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered