Provider Demographics
NPI:1265279236
Name:CAMERON, CYNTHIA DENNISE (RDN LD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:DENNISE
Last Name:CAMERON
Suffix:
Gender:F
Credentials:RDN LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13402 N EXPRESSWAY 281
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-2433
Mailing Address - Country:US
Mailing Address - Phone:956-647-3368
Mailing Address - Fax:
Practice Address - Street 1:13402 N EXPRESSWAY 281
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-2433
Practice Address - Country:US
Practice Address - Phone:956-647-3368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84099133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered