Provider Demographics
NPI:1053403121
Name:VILES, TONIA K (RD, LD)
Entity type:Individual
Prefix:MS
First Name:TONIA
Middle Name:K
Last Name:VILES
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:MS
Other - First Name:TONIA
Other - Middle Name:K
Other - Last Name:HAACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6161 S YALE AVE
Mailing Address - Street 2:SAINT FRANCIS HOSPITAL, NUTRITION DEPARTMENT
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1902
Mailing Address - Country:US
Mailing Address - Phone:918-494-6239
Mailing Address - Fax:918-494-7270
Practice Address - Street 1:6161 S YALE AVE
Practice Address - Street 2:SAINT FRANCIS HOSPITAL, NUTRITION DEPARTMENT
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1902
Practice Address - Country:US
Practice Address - Phone:918-494-6239
Practice Address - Fax:918-494-7270
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1373133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered