Provider Demographics
NPI:1649019738
Name:DOWNS, ALICIA ANNE (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:ANNE
Last Name:DOWNS
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 HERZOG
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6144
Mailing Address - Country:US
Mailing Address - Phone:512-665-2504
Mailing Address - Fax:
Practice Address - Street 1:2100 HERZOG
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6144
Practice Address - Country:US
Practice Address - Phone:512-665-2504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT87304133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered