Provider Demographics
NPI:1699914796
Name:HILLIARD-JONES, DEBRA JEAN (RD, LD)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:JEAN
Last Name:HILLIARD-JONES
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 1:3808 BERKSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-3003
Mailing Address - Country:US
Mailing Address - Phone:817-858-9388
Mailing Address - Fax:
Practice Address - Street 1:1600 AIRPORT FWY
Practice Address - Street 2:SUITE 310
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6850
Practice Address - Country:US
Practice Address - Phone:817-858-9388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDTO4755133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered