Healthcare Provider Details

I. General information

NPI: 1275241333
Provider Name (Legal Business Name): BRETT ANDREW SINGER RD,LD,CSSD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 HUTCHESON ST
HOUSTON TX
77003-2514
US

IV. Provider business mailing address

314 HUTCHESON ST
HOUSTON TX
77003-2514
US

V. Phone/Fax

Practice location:
  • Phone: 281-728-0805
  • Fax:
Mailing address:
  • Phone: 281-728-0805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License NumberDT81742
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: