Provider Demographics
NPI:1780980946
Name:BAILEY, MARGARET NATASHA (RD, LD)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:NATASHA
Last Name:BAILEY
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:NATASHA
Other - Last Name:GILSTRAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 W VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720-5566
Mailing Address - Country:US
Mailing Address - Phone:432-263-7361
Mailing Address - Fax:432-264-4829
Practice Address - Street 1:300 W VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-5566
Practice Address - Country:US
Practice Address - Phone:432-263-7361
Practice Address - Fax:432-264-4829
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT05579133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX884994OtherCOMMISSION ON DIETETIC REGISTRATION
TXDT05579OtherTEXAS STATE BOARD OF EXAMINERS OF DIETITIANS