Healthcare Provider Details

I. General information

NPI: 1780617498
Provider Name (Legal Business Name): HEATHER SAAVEDRA RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 02/23/2022
Certification Date: 02/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 FANNIN ST STE 500
HOUSTON TX
77030-3005
US

IV. Provider business mailing address

6431 FANNIN ST. MSB 3.146A
HOUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-7098
  • Fax: 713-383-1475
Mailing address:
  • Phone: 713-500-7098
  • Fax: 713-383-1475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License NumberDT80660
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: