Provider Demographics
NPI:1801392667
Name:GARNER, DIONNE (RD)
Entity Type:Individual
Prefix:
First Name:DIONNE
Middle Name:
Last Name:GARNER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10030 KOPPLIN RD
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4649
Mailing Address - Country:US
Mailing Address - Phone:830-468-5917
Mailing Address - Fax:866-382-8390
Practice Address - Street 1:1324 COMMON ST STE 307
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3566
Practice Address - Country:US
Practice Address - Phone:830-468-5917
Practice Address - Fax:866-382-8390
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84781133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered