MEDICARE: MS. NETRO MCKAY MS, RDN, 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	DT84107	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DT84107	OTHER	TX	TEXAS DEPARTMENT OF LICENSING AND REGULATION

General Provider Information

NPI Number	:	1942859400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NETRO MCKAY MS, RDN, LD

Provider Business Mailing Address
First Line	:	6431 FANNIN ST # 3.286
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	832-477-4777
Fax Number	:

Provider Business Practice Location Address
First Line	:	6410 FANNIN ST STE 350
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3004
Country	:	US
Telephone Number	:	832-477-4777
Fax Number	:

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

Provider Enumeration Date	:	09/08/2019
Last Update Date	:	02/05/2026

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