Provider Demographics
NPI:1811590482
Name:FIELDS, ARELLA DELOYCE (MPH, RD, LD)
Entity Type:Individual
Prefix:
First Name:ARELLA
Middle Name:DELOYCE
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MPH, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6028 GOLDEN GATE CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75241-5258
Mailing Address - Country:US
Mailing Address - Phone:918-954-4742
Mailing Address - Fax:
Practice Address - Street 1:6760 WINDHAVEN PARKWAY
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056
Practice Address - Country:US
Practice Address - Phone:918-954-4742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT86300133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered