MEDICARE: MARIANNE TURCIOS 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	DT05476	TX

General Provider Information

NPI Number	:	1427127208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIANNE TURCIOS RD

Provider Business Mailing Address
First Line	:	14622 MEREDITH GATE CIR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-5055
Country	:	US
Telephone Number	:	281-459-3505
Fax Number	:

Provider Business Practice Location Address
First Line	:	24046 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1500
Country	:	US
Telephone Number	:	281-358-4445
Fax Number	:

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

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Directions to “ MARIANNE TURCIOS RD” Practice Location

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