MEDICARE: JENNIFER LYNN DYSON RD, LD, CDE

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
1	133V00000X	Registered Dietitian	DT81689	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	382504ZML	OTHER	TX	MEDICARE PTAN

General Provider Information

NPI Number	:	1689976227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYNN DYSON RD, LD, CDE

Provider Business Mailing Address
First Line	:	17520 W GRAND PKWY S STE 110
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4759
Country	:	US
Telephone Number	:	281-239-3777
Fax Number	:	281-239-3744

Provider Business Practice Location Address
First Line	:	17520 W GRAND PKWY S STE 110
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4759
Country	:	US
Telephone Number	:	281-239-3777
Fax Number	:	281-239-3744

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	10/10/2024

Similar Medicare Providers

1184368482 — BHOOMI RAMNIKLAL SATANI MBBS
Practice Location Address:

17520 W GRAND PKWY S STE 300
SUGAR LAND, TX
77479-4759

Practice Phone: 281-725-5855
Practice Fax:

1437488806 — DR. SHREYA PARIKH M.D.
Practice Location Address:

17520 W GRAND PKWY S STE 110
SUGAR LAND, TX
77479-4759

Practice Phone: 281-239-3777
Practice Fax: 281-239-3744

1275820169 — DR. JESSICA TRAVER M.D.
Practice Location Address:

17520 W GRAND PKWY S STE 200
SUGAR LAND, TX
77479-4759

Practice Phone: 713-486-1600
Practice Fax:

1124373501 — DR. ALICIA REGINA WALLS M.D.
Practice Location Address:

17520 W GRAND PKWY S STE 120
SUGAR LAND, TX
77479-4759

Practice Phone: 281-298-1144
Practice Fax: 281-298-1133

1356698724 — DR. GEOFFREY NEWCOMER KONOPKA MD
Practice Location Address:

17520 W GRAND PKWY S STE 200
SUGAR LAND, TX
77479-4759

Practice Phone: 713-486-1600
Practice Fax:

1356784276 — MS. TAMMY RANE' DELAGARZA FNP-C
Practice Location Address:

17520 W GRAND PKWY S STE 120
SUGAR LAND, TX
77479-4759

Practice Phone: 281-298-1144
Practice Fax: 281-298-1133

Directions to “ JENNIFER LYNN DYSON RD, LD, CDE” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.