Provider Demographics
NPI:1003626201
Name:ORLIKOSKI, MARIA JIMAE (MBA, RD, LD, CEDS)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:JIMAE
Last Name:ORLIKOSKI
Suffix:
Gender:F
Credentials:MBA, RD, LD, CEDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25902 OAK TOP VW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-3530
Mailing Address - Country:US
Mailing Address - Phone:210-201-2362
Mailing Address - Fax:
Practice Address - Street 1:25902 OAK TOP VW
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255-3530
Practice Address - Country:US
Practice Address - Phone:210-201-2362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT85831133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered