Provider Demographics
NPI:1427234541
Name:IRION, LINDA M (RD, LD)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:M
Last Name:IRION
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 BOX CANYON RD
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-7581
Mailing Address - Country:US
Mailing Address - Phone:830-285-0900
Mailing Address - Fax:830-895-4872
Practice Address - Street 1:148 BOX CANYON RD
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-7581
Practice Address - Country:US
Practice Address - Phone:830-285-0900
Practice Address - Fax:830-895-4872
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT03485133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered