Provider Demographics
NPI:1023432689
Name:MOJAS, TINISHA (RD)
Entity type:Individual
Prefix:
First Name:TINISHA
Middle Name:
Last Name:MOJAS
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 1:6017 GUNNISON TURN RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6077
Mailing Address - Country:US
Mailing Address - Phone:707-334-3347
Mailing Address - Fax:
Practice Address - Street 1:6017 GUNNISON TURN RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-6077
Practice Address - Country:US
Practice Address - Phone:707-334-3347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1019554133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered