Provider Demographics
NPI:1578346557
Name:NEY, TONYA L (RD, LD)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:L
Last Name:NEY
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 1:5506 AMERADA CIR APT 936
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-0566
Mailing Address - Country:US
Mailing Address - Phone:575-650-7593
Mailing Address - Fax:
Practice Address - Street 1:5506 AMERADA CIR APT 936
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-0566
Practice Address - Country:US
Practice Address - Phone:575-650-7593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84404133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered