MEDICARE: MARY DUTTA RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DT87871	TX

General Provider Information

NPI Number	:	1326772187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY DUTTA RD

Provider Business Mailing Address
First Line	:	3250 PEBBLE BEACH LN
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7108
Country	:	US
Telephone Number	:	832-691-9906
Fax Number	:

Provider Business Practice Location Address
First Line	:	9415 BROADWAY ST STE 121
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8094
Country	:	US
Telephone Number	:	832-691-9906
Fax Number	:	346-502-3585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2022
Last Update Date	:	02/14/2023

Similar Medicare Providers

1124110861 — DR. SHEELA KUDCHADKER DDS MS PA
Practice Location Address:

9415 BROADWAY , STE 119
PEARLAND, TX
77584-8094

Practice Phone: 281-436-8877
Practice Fax: 281-854-2925

1710388996 — JENNIFER PRICE D.C.
Practice Location Address:

9415 BROADWAY ST STE 121
PEARLAND, TX
77584-8094

Practice Phone: 281-480-7000
Practice Fax: 281-480-7017

1679029987 — CHIROTECTURE, PLLC.
Practice Location Address:

9415 BROADWAY ST. , #121
PEARLAND, TX
77584-8094

Practice Phone: 281-416-5511
Practice Fax: 281-416-5549

1366920985 — LINDA BOYCE
Practice Location Address:

9415 BROADWAY ST STE 201
PEARLAND, TX
77584-8094

Practice Phone: 832-418-2999
Practice Fax:

1184230815 — LINDAS SIGNATURE HAIR STUDIO INC
Practice Location Address:

9415 BROADWAY ST STE 201
PEARLAND, TX
77584-8094

Practice Phone: 832-418-2999
Practice Fax:

1295620219 — DYCHETTA MINOR NP
Practice Location Address:

9415 BROADWAY ST STE 201
PEARLAND, TX
77584-8094

Practice Phone: 832-890-6814
Practice Fax:

Directions to “ MARY DUTTA RD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.