=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740979293
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ZAPIEN NUTRITION THERAPY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/02/2023
-----------------------------------------------------
Last Update Date | 05/03/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9275 MCDADE ST
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77080-2918
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-433-1704
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9275 MCDADE ST
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77080-2918
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-651-9149
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | REGISTERED DIETITIAN /OWNER
-----------------------------------------------------
Name | MRS. RITA ANDREA ZAPIEN MILES
-----------------------------------------------------
Credential | RD
-----------------------------------------------------
Telephone | 346-433-1704
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------