| Craig Ryan Gotcher, RD,LD | |
|
425 University Blvd, Round Rock, TX 78665-1053 | |
| (512) 509-0200 | |
| Not Available |
| Full Name | Craig Ryan Gotcher |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 16 Years |
| Location | 425 University Blvd, Round Rock, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720322910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT81043 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center - Round Rock | Round rock, TX | Hospital |
| Baylor Scott & White Medical Center - Taylor | Taylor, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2276 |
| Provider Name | Scott & White Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Ryan Gotcher, RD,LD Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Craig Ryan Gotcher, RD,LD 425 University Blvd, Round Rock, TX 78665-1053 Ph: (512) 509-0200 |
Irene Vielma, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 University Blvd, Round Rock, TX 78665 Phone: 830-513-9882 | |
Heidi C Kiehl, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Noe Ln, Round Rock, TX 78681 Phone: 925-580-1399 | |
Susan K Ivester, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1901 E Palm Valley Blvd, Round Rock, TX 78664 Phone: 512-694-6923 | |
Stephanie R Ortiz, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 201 Seton Pkwy, Round Rock, TX 78665 Phone: 512-324-4000 | |
Sarah Jean Williams, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300a University Blvd, Round Rock, TX 78665 Phone: 512-509-2128 | |
Taylor A Moyer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Gattis School Rd Ste 150b, Round Rock, TX 78664 Phone: 512-910-5988 | |
Rosimeiry D Jamalabad, RDN, LD, CDCES Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1 Chisholm Trail Road Suite #450, Round Rock, TX 78681 Phone: 512-922-5618 Fax: 512-246-9704 |