Healthcare Provider Details
I. General information
NPI: 1639881931
Provider Name (Legal Business Name): ZAPIEN NUTRITION THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/19/2022
Last Update Date: 12/19/2022
Certification Date: 12/18/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9275 MCDADE ST
HOUSTON TX
77080-2918
US
IV. Provider business mailing address
PO BOX 7595
HOUSTON TX
77270-7595
US
V. Phone/Fax
- Phone: 346-433-1704
- Fax:
- Phone: 346-433-1704
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
RITA
ANDREA
ZAPIEN MILES
Title or Position: REGISTERED DIETITIAN/OWNER
Credential: MS RD LD CDCES
Phone: 346-433-1704