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NPI Code Detail

MEDICARE: KAREN ADEWALE RD, LD

MEDICARE: KAREN ADEWALE RD, 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
1133N00000XNutritionistDT84803TX
2133V00000XRegistered DietitianDT84803TX

General Provider Information

NPI Number : 1518699149
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ADEWALE RD, LD
Provider Business Mailing Address
First Line : 13930 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77083-1719
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13930 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77083-1719
Country : US
Telephone Number : 713-773-0803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2022
Last Update Date : 11/13/2024

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Directions to “ KAREN ADEWALE RD, LD” Practice Location

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