MEDICARE: PLANT POTENTIAL

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

General Provider Information

NPI Number	:	1891363495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANT POTENTIAL

Provider Business Mailing Address
First Line	:	11830 SPRUCE HILL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-4927
Country	:	US
Telephone Number	:	713-419-8235
Fax Number	:

Provider Business Practice Location Address
First Line	:	11830 SPRUCE HILL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-4927
Country	:	US
Telephone Number	:	713-419-8235
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIETITIAN NUTRITIONIST
Name	:	SARAH WHIPKEY
Credential	:	RDN
Telephone Number	:	713-419-8235

Provider Enumeration Date	:	06/11/2021
Last Update Date	:	09/22/2021

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Directions to “PLANT POTENTIAL ” Practice Location

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