IndividualActive
Jaton Pankau, R.D./L.D.
NPI 1972789055 · Pediatric Nutrition Registered Dietitian · Dallas, TX
Provider details
- NPI number
- 1972789055
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D./L.D.
- Sex
- Female
- Sole proprietor
- No
- License
- DT80705 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1935 Motor St
Dallas, TX 75235-7701
Phone: (214) 456-4628
Fax: (214) 456-6287
Approximate (ZIP-level) locationGet directions
Mailing address
15544 Brookhollow Cir
Forney, TX 75126-5200
Registry dates
- Enumerated
- 2008-01-18
- Last updated
- 2008-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.