Provider Demographics
NPI:1598000689
Name:DOSS, ASHLI (RD, LD)
Entity Type:Individual
Prefix:
First Name:ASHLI
Middle Name:
Last Name:DOSS
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 1:520 SAMUELS AVE
Mailing Address - Street 2:APT 4301
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102-2399
Mailing Address - Country:US
Mailing Address - Phone:972-246-8686
Mailing Address - Fax:817-423-7697
Practice Address - Street 1:1106 ALSTON AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4644
Practice Address - Country:US
Practice Address - Phone:972-246-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82539133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered