Provider Demographics
NPI:1124775770
Name:BERGLUND, MARIA DEL ROCIO (MS, RDN, LDN,)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DEL ROCIO
Last Name:BERGLUND
Suffix:
Gender:F
Credentials:MS, RDN, LDN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24110 SHAW PERRY LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3400
Mailing Address - Country:US
Mailing Address - Phone:281-347-6157
Mailing Address - Fax:
Practice Address - Street 1:24110 SHAW PERRY LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3400
Practice Address - Country:US
Practice Address - Phone:281-347-6157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT06370133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered