MEDICARE: MS. ANDREA GUADALUPE PARADA MPH, RD, CSP

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	988491	TX

General Provider Information

NPI Number	:	1700025046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANDREA GUADALUPE PARADA MPH, RD, CSP

Provider Business Mailing Address
First Line	:	6235 MAJESTY LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-1447
Country	:	US
Telephone Number	:	832-466-6894
Fax Number	:	713-830-3084

Provider Business Practice Location Address
First Line	:	3311 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-3018
Country	:	US
Telephone Number	:	713-830-3000
Fax Number	:	713-830-3084

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

Provider Enumeration Date	:	02/10/2009
Last Update Date	:	02/10/2009

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