Search › Texas › 133V00000X
Ivy Boudreaux, RD, LD
NPI 1588344618 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1236 Pine Forest Cir
Round Rock, TX 78665 - Phone
- (512) 415-1320
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133V00000X
- Licence states on file
- IA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas