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MRS. MARY L HALLIBURTON RDNCSR LD NPI 1366781676


NPI Information

NPI: 1366781676
Provider Name: MRS. MARY L HALLIBURTON, RDN,CSR, LD
Classification: Dietitian, Registered - 133VN1005X
Entity Type: Individual

Specialization: Nutrition, Renal

Address:
4741 JOEL DRIVE
APT 33
EL PASO, TX
ZIP 79924
Phone: (915) 490-1718
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MRS. Mary L Halliburton, RDN,CSR, LD is a nutrition and renal dietitian registered in El Paso, TX. The provider is an individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation. MRS. Mary L Halliburton, RDN,CSR, LD NPI is 1366781676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4741 JOEL DRIVE
APT 33
EL PASO, TX
ZIP 79924
Phone: (915) 490-1718
Fax: (915) 307-8678

The enumeration date for this NPI number is 2/6/2013 and was last updated on 2/13/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1006XDietitian, RegisteredNutrition, MetabolicDT81903TEXASNo
2133VN1005XDietitian, RegisteredNutrition, RenalDT81903TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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