| Stephanie Clifford, RD LD | |
|
2911 Medical Arts St Ste 9, Austin, TX 78705-3302 | |
| (512) 522-7793 | |
| Not Available |
| Full Name | Stephanie Clifford |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2911 Medical Arts St Ste 9, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609465939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT86668 (Texas) | Primary |
| Provider Name | Basic Balance Nutrition, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629582796 PECOS PAC ID: 3678838513 Enrollment ID: O20180524002461 |
| Provider Name | Maria Mendoza Rd Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144784752 PECOS PAC ID: 0446652150 Enrollment ID: O20210716000962 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Clifford, RD LD 2911 Medical Arts St Ste 9, Austin, TX 78705-3302 Ph: (512) 522-7793 | Stephanie Clifford, RD LD 2911 Medical Arts St Ste 9, Austin, TX 78705-3302 Ph: (512) 522-7793 |
Adriana Krueger, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12209 Alcanza Dr, Austin, TX 78739 Phone: 512-550-4849 | |
Kimberley Bandelier, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St, Suite 104, Austin, TX 78731 Phone: 512-693-7045 | |
Gabrielle Palmeri, MDN, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 412-692-7699 | |
Dr. Michaela Slatniske, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2105 East Mlk Blvd, #111, Austin, TX 78702 Phone: 512-309-1650 | |
Jorja Skyy Washington, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7701 N Lamar Blvd Ste 402, Austin, TX 78752 Phone: 512-257-0898 | |
Abbygail Hicks Franklin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 901-361-8992 | |
Lauren Nicole Incarnato, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 512-693-7045 |