Provider Demographics
NPI:1932926367
Name:MULROY, SYDNEY ANN (RD)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:ANN
Last Name:MULROY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 E OLTORF ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-5646
Mailing Address - Country:US
Mailing Address - Phone:443-996-9668
Mailing Address - Fax:
Practice Address - Street 1:751 E OLTORF ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-5646
Practice Address - Country:US
Practice Address - Phone:443-996-9668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered