MEDICARE: ADRIANA SLUSSER MS, RD, LD

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	86012445	TX

General Provider Information

NPI Number	:	1801224373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA SLUSSER MS, RD, LD

Provider Business Mailing Address
First Line	:	504 SPRING HILL DR
Second Line	:	SUITE 450
City	:	SPRING
State	:	TX
Zip	:	77386-6027
Country	:	US
Telephone Number	:	832-948-2768
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 SPRING HILL DR
Second Line	:	SUITE 450
City	:	SPRING
State	:	TX
Zip	:	77386-6027
Country	:	US
Telephone Number	:	832-948-2768
Fax Number	:

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

Provider Enumeration Date	:	10/21/2013
Last Update Date	:	03/02/2015

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