Provider Demographics
NPI:1568654671
Name:HROBAR, DANA HOLLY (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:HOLLY
Last Name:HROBAR
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 1:12914 BOWING OAKS DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2044
Mailing Address - Country:US
Mailing Address - Phone:832-559-8784
Mailing Address - Fax:
Practice Address - Street 1:12914 BOWING OAKS DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2044
Practice Address - Country:US
Practice Address - Phone:832-559-8784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX915561133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered