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NPI Code Detail

MEDICARE: KAY COOLEY HOSS LD

MEDICARE: KAY COOLEY HOSS LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDT06071TX

General Provider Information

NPI Number : 1457340523
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAY COOLEY HOSS LD
Provider Business Mailing Address
First Line : 2727 W HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1669
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2727 W HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1669
Country : US
Telephone Number : 713-442-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 07/08/2007

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Directions to “ KAY COOLEY HOSS LD” Practice Location

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