Provider Demographics
NPI:1588193163
Name:PARTIN, ASHLEIGH (MS, RDN, LD)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:PARTIN
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 BROMLEY PL APT O101
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-1654
Mailing Address - Country:US
Mailing Address - Phone:214-693-2249
Mailing Address - Fax:
Practice Address - Street 1:2503 W OHIO AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-5847
Practice Address - Country:US
Practice Address - Phone:214-693-2249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84092133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered