Provider Demographics
NPI:1598406662
Name:MURGO, LEAH ESTHER BECKER (RDN)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:ESTHER BECKER
Last Name:MURGO
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10265 TIMBER TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-6026
Mailing Address - Country:US
Mailing Address - Phone:817-707-2031
Mailing Address - Fax:
Practice Address - Street 1:10265 TIMBER TRAIL DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-6026
Practice Address - Country:US
Practice Address - Phone:817-707-2031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT85346133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
86073459OtherCOMMISSION ON DIETETIC REGISTRATION