Provider Demographics
NPI:1033840632
Name:GARCIA, HANNAH KAY (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:KAY
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:KAY
Other - Last Name:KEAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, RD, LD
Mailing Address - Street 1:25 WOODACRE DR.
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676
Mailing Address - Country:US
Mailing Address - Phone:832-454-2433
Mailing Address - Fax:
Practice Address - Street 1:25 WOODACRE DR.
Practice Address - Street 2:
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676
Practice Address - Country:US
Practice Address - Phone:832-454-2433
Practice Address - Fax:512-471-0898
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86144037133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered