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Gillian Deroche is one of 50 dietitians and nutrition professionals practicing in Dallas, Texas .
Gillian Deroche practices with Healthtexas Provider Network.
Registry record (NPPES)
NPI
1518831676
Type
Type 1 · Individual
Primary taxonomy
Dietitian, Registered · 133V00000X
Address on file
4024 Saint Christopher Ln Dallas, TX 75287-6449 (330) 696-5676
Enumerated
Oct 1, 2025
Record last updated
Oct 1, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXRegistered Dietitian or Nutrition Professional
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
4001 Worth St
Dallas , TX 75246
9101 N Central Expy
Dallas , TX 75231
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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