Healthcare Provider Details

I. General information

NPI: 1306088349
Provider Name (Legal Business Name): EMILY LEPOW RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 WEST LOOP S STE 390
BELLAIRE TX
77401-2917
US

IV. Provider business mailing address

5562 ASPEN ST
BELLAIRE TX
77401-4829
US

V. Phone/Fax

Practice location:
  • Phone: 713-714-4781
  • Fax: 832-237-0200
Mailing address:
  • Phone: 713-515-3993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License NumberDT81098
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: