Provider Demographics
NPI:1598348187
Name:ARGUELLES, KRISTEN (BS, MS, RDN, LD)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:ARGUELLES
Suffix:
Gender:F
Credentials:BS, 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 1:3721 MILE 9 N
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-2560
Mailing Address - Country:US
Mailing Address - Phone:956-678-1661
Mailing Address - Fax:
Practice Address - Street 1:3721 MILE 9 N
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-2560
Practice Address - Country:US
Practice Address - Phone:956-678-1661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-30
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
TX86118534133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty