Provider Demographics
NPI:1992348296
Name:CSITKOVITS, ANA CECILIA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:CECILIA
Last Name:CSITKOVITS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 MERRILL HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7625
Mailing Address - Country:US
Mailing Address - Phone:832-746-6123
Mailing Address - Fax:
Practice Address - Street 1:14101 W HWY 290 STE 1600B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-9394
Practice Address - Country:US
Practice Address - Phone:512-522-7793
Practice Address - Fax:818-484-2316
Is Sole Proprietor?:No
Enumeration Date:2019-10-20
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86153232133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered