Tisha Roman, RD
Dietitian, Registered in Austin, TX. Individual provider (NPI-1).
NPI number1023917606
StatusActive
Last updated in NPPESNov 2, 2026
Details
- NPI
- 1023917606
- Entity type
- Individual (NPI-1)
- Name
- Tisha Roman
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2026
- Certification date
- Nov 2, 2026
- Last updated
- Nov 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
3724 Jefferson St Ste 104Austin, TX 78731-6204
Phone 512-693-7045
Mailing address
3724 Jefferson St Ste 104Austin, TX 78731-6204
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