MEDICARE: NUTRITIOUS SOLUTIONS

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

General Provider Information

NPI Number	:	1598614174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUTRITIOUS SOLUTIONS

Provider Business Mailing Address
First Line	:	PO BOX 300061
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77230-0061
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7447 CAMBRIDGE ST APT 14
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2017
Country	:	US
Telephone Number	:	405-550-0372
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIETITIAN
Name	:	ANDREA HICKS
Credential	:	MA,RDN, LD, CDCES
Telephone Number	:	405-550-0372

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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