MEDICARE: MRS. DONNA J. CHRISTOFFEL M.S., R.D., L.D.

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	DT80201	TX

General Provider Information

NPI Number	:	1730433491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DONNA J. CHRISTOFFEL M.S., R.D., L.D.

Provider Business Mailing Address
First Line	:	6239 HURST ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-6334
Country	:	US
Telephone Number	:	281-235-8724
Fax Number	:

Provider Business Practice Location Address
First Line	:	7030 BRETSHIRE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-3704
Country	:	US
Telephone Number	:	713-633-2100
Fax Number	:

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

Provider Enumeration Date	:	11/02/2012
Last Update Date	:	01/21/2013

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