Provider Demographics
NPI:1730906843
Name:CELIS, ALMA MARIE (MBA, RD)
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:MARIE
Last Name:CELIS
Suffix:
Gender:F
Credentials:MBA, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 E ACKARD PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-3005
Mailing Address - Country:US
Mailing Address - Phone:210-378-0569
Mailing Address - Fax:
Practice Address - Street 1:310 E ACKARD PL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-3005
Practice Address - Country:US
Practice Address - Phone:210-378-0569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-21
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered