Provider Demographics
NPI:1598548190
Name:FRONBERRY, REBECCA (RDN, LD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:FRONBERRY
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 SHADY BROOK LN APT 324
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-1207
Mailing Address - Country:US
Mailing Address - Phone:262-224-8251
Mailing Address - Fax:
Practice Address - Street 1:12790 MERIT DR BUILDING 9
Practice Address - Street 2:SUITE 700
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251
Practice Address - Country:US
Practice Address - Phone:855-999-7549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered