Provider Demographics
NPI:1538543061
Name:QUIGLEY, DANA (RD, LD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:QUIGLEY
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 1:908 HARVEST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-6725
Mailing Address - Country:US
Mailing Address - Phone:940-536-5149
Mailing Address - Fax:
Practice Address - Street 1:908 HARVEST GLEN DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-6725
Practice Address - Country:US
Practice Address - Phone:940-536-5149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82396133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered