Basic Information
| Provider Information | |||||||||
| NPI: | 1922502459 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAMBIAS | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | ASHLEY | ||||||||
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| Credential: | RDN, LDN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1100 W 7TH ST APT 847 | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761023563 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8703074532 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6100 WESTERN PL STE 908 | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761074600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8177517802 | ||||||||
| FaxNumber: | 8478595885 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2018 | ||||||||
| LastUpdateDate: | 03/20/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | DT85193 | TX | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.