Healthcare Provider Details

I. General information

NPI: 1689268658
Provider Name (Legal Business Name): JAMIE MCDANIEL MS, RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2021
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 CYPRESS CREEK PKWY
HOUSTON TX
77090-3402
US

IV. Provider business mailing address

1523 MAJORS DR
RICHMOND TX
77406-1007
US

V. Phone/Fax

Practice location:
  • Phone: 281-440-1000
  • Fax:
Mailing address:
  • Phone: 832-535-0618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86099786
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: