Provider Demographics
NPI:1205101961
Name:HASBUN, JANETTE (RD,LD)
Entity type:Individual
Prefix:
First Name:JANETTE
Middle Name:
Last Name:HASBUN
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 LAKE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-8040
Mailing Address - Country:US
Mailing Address - Phone:956-221-2825
Mailing Address - Fax:
Practice Address - Street 1:2301 LAKE VIEW DR
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-8040
Practice Address - Country:US
Practice Address - Phone:956-221-2825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82271133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDT82271OtherLICENSED DIETITIAN