MEDICARE: ESTEP NUTRITION CONSULTING INC

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	133VN1004X	Pediatric Nutrition Registered Dietitian	DT82812	TX
2	133V00000X	Registered Dietitian	DT82812	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1154734705	OTHER		INDIVIDUAL NPI NUMBER

General Provider Information

NPI Number	:	1396268439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESTEP NUTRITION CONSULTING INC

Provider Business Mailing Address
First Line	:	21114 UPLAND MANOR CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-1505
Country	:	US
Telephone Number	:	318-218-4918
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 N POST OAK RD STE 280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3813
Country	:	US
Telephone Number	:	318-218-4918
Fax Number	:	832-218-0842

Authorized Official
Title or Position	:	OWNER/REGISTERED DIETITIAN
Name	:	MADELINE NICOLE ESTEP
Credential	:	RD, LD, CDE
Telephone Number	:	318-218-4918

Provider Enumeration Date	:	07/20/2017
Last Update Date	:	06/11/2019

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Directions to “ESTEP NUTRITION CONSULTING INC ” Practice Location

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