Provider Demographics
NPI:1689347759
Name:ARGUETA, SENDY NORELY (RDN)
Entity Type:Individual
Prefix:
First Name:SENDY
Middle Name:NORELY
Last Name:ARGUETA
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 1:3604 RYAN AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-4939
Mailing Address - Country:US
Mailing Address - Phone:682-701-1362
Mailing Address - Fax:
Practice Address - Street 1:3604 RYAN AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-4939
Practice Address - Country:US
Practice Address - Phone:682-701-1362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT87190133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered