Provider Demographics
NPI:1699838359
Name:CURRY, MARY (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:CURRY
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3211 AVONDALE ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-1004
Mailing Address - Country:US
Mailing Address - Phone:817-938-9901
Mailing Address - Fax:817-921-2661
Practice Address - Street 1:3211 AVONDALE ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-1004
Practice Address - Country:US
Practice Address - Phone:817-938-9901
Practice Address - Fax:817-921-2661
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX489947133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered