Provider Demographics
NPI:1497793665
Name:HOSENFELD, KARIN EILEEN (BS, RD/LD)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:EILEEN
Last Name:HOSENFELD
Suffix:
Gender:F
Credentials:BS, 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:PO BOX 251594
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-1509
Mailing Address - Country:US
Mailing Address - Phone:214-704-9179
Mailing Address - Fax:972-377-6006
Practice Address - Street 1:375 MUNICIPAL DR
Practice Address - Street 2:STE 140
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3559
Practice Address - Country:US
Practice Address - Phone:972-498-4503
Practice Address - Fax:972-377-6006
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07525133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered