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Contact Information

AMY CANTRELL, RD, LD
2401 S 31ST ST
SCOTT & WHITE HOSPITAL MS 09-CW403
TEMPLE, TX76508-0001
 Phone: 254-724-8726
 Fax: 254-724-1425
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for AMY CANTRELL · (Female)

NPI # 1710107347
Status Active
Credentials RD, LD
Entity Individual
Enumeration date 04/26/2007
Last updated 10/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # DT04104
  • TX Medicaid 143893901
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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