Provider Demographics
NPI:1255530549
Name:GRAFF, MARIAELISA (PHD, RD)
Entity type:Individual
Prefix:DR
First Name:MARIAELISA
Middle Name:
Last Name:GRAFF
Suffix:
Gender:F
Credentials:PHD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 MEARNS MEADOW BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5019
Mailing Address - Country:US
Mailing Address - Phone:512-589-1712
Mailing Address - Fax:512-259-2220
Practice Address - Street 1:902 CRYSTAL FALLS PKWY
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-3646
Practice Address - Country:US
Practice Address - Phone:512-589-1712
Practice Address - Fax:512-259-2220
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80272133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered