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NPI Code Detail

MEDICARE: MS. MICHELLE OTT MS., RD., C.D.E., LD

MEDICARE: MS. MICHELLE OTT MS., RD., C.D.E., 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 DietitianDT06278TX

General Provider Information

NPI Number : 1851328397
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE OTT MS., RD., C.D.E., LD
Provider Business Mailing Address
First Line : 11511 SHADOW CREEK PKWY
Second Line : HR/CREDENTIALING SERVICES
City : PEARLAND
State : TX
Zip : 77584-7298
Country : US
Telephone Number : 713-442-0000
Fax Number :
Provider Business Practice Location Address
First Line : 15655 CYPRESS WOOD MEDICAL DR STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77014-1487
Country : US
Telephone Number : 713-442-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 12/24/2025

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