Provider Demographics
NPI:1841302205
Name:BIENDIT, IRIS ANNETTE (RD REG DIETICIAN)
Entity type:Individual
Prefix:MRS
First Name:IRIS
Middle Name:ANNETTE
Last Name:BIENDIT
Suffix:
Gender:F
Credentials:RD REG DIETICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11179 PRAIRIE LAKES LN
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126
Mailing Address - Country:US
Mailing Address - Phone:214-802-4303
Mailing Address - Fax:214-857-1719
Practice Address - Street 1:4500 S LANCASTER
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216
Practice Address - Country:US
Practice Address - Phone:214-857-1744
Practice Address - Fax:214-857-1719
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
R348172133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered