Michelle'S Blue Carott Gp Llc in Spring - Nutrition, Metabolic

Michelle'S Blue Carott Gp Llc - NPI 1598953911

Michelle'S Blue Carott Gp Llc is a Nutrition, Metabolic in Spring, Texas. Michelle'S Blue Carott Gp Llc practices all healthcare services and medical treatments related to Nutrition, Metabolic. The NPI Number for Michelle'S Blue Carott Gp Llc is 1598953911. The last update date is 2007-10-10.

Michelle'S Blue Carott Gp Llc's current location address is 6419 Allentown Dr, Spring, Texas. You can contact this provider via phone number 2816825967. The mailing address for Michelle'S Blue Carott Gp Llc is 6419 Allentown Dr, Spring, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Michelle'S Blue Carott Gp Llc
Address 6419 Allentown Dr, Spring, Texas
Phone Number 2816825967
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Rivera Patrice Michelle
Credentials MS RD CDE
Telephone Number 2816825967

NPI Number Detail

NPI Number 1598953911
Provider Enumeration Date 2007-10-10
Last Updated Date 2007-10-10

Provider Mailing Address Detail

Address 6419 Allentown Dr
City Spring
State Texas (TX)
Post Code 773893669
Phone Number 2816825967
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nutrition, Metabolic
Taxonomy 133Vn1006X
Licence No DT06278
Definition:
A dietitian who specializes in metabolic and nutritional disorders.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
610476 TX MEDICARE PROVIDER NUMBER

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FAQs about Michelle'S Blue Carott Gp Llc

What is the unique 10-digit identification code assigned to Michelle'S Blue Carott Gp Llc by the Centers for Medicare & Medicaid Services?

The Michelle'S Blue Carott Gp Llc has been issued the NPI (National Provider Identifier) 1598953911, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Michelle'S Blue Carott Gp Llc is physically located?

The Michelle'S Blue Carott Gp Llc is physically situated at the following address: 6419 Allentown Dr, Spring, TX, 773893669.

What is the area of specialization for Michelle'S Blue Carott Gp Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michelle'S Blue Carott Gp Llc is Nutrition, Metabolic, and the corresponding taxonomy code that categorizes this area of expertise is 133Vn1006X.

When did Michelle'S Blue Carott Gp Llc receive its 1598953911 assignment?

The Michelle'S Blue Carott Gp Llc was assigned its 1598953911 on 2007-10-10, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Michelle'S Blue Carott Gp Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michelle'S Blue Carott Gp Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-10.

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