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NPI Code Detail

MEDICARE: SPAINHOUR NUTRITION THERAPY

MEDICARE: SPAINHOUR NUTRITION THERAPY
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 Dietitian

General Provider Information

NPI Number : 1912851080
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPAINHOUR NUTRITION THERAPY
Provider Business Mailing Address
First Line : 142 PETIT RD
Second Line :
City : WACO
State : TX
Zip : 76708-7700
Country : US
Telephone Number : 254-221-9059
Fax Number : 254-343-1480
Provider Business Practice Location Address
First Line : 142 PETIT RD
Second Line :
City : WACO
State : TX
Zip : 76708-7700
Country : US
Telephone Number : 254-221-9059
Fax Number : 254-343-1480
Authorized Official
Title or Position : PRACTICE OWNER, RD
Name : STEPHANI RENEE SPAINHOUR
Credential : MS,RD,LD
Telephone Number : 254-221-9059
Provider Enumeration Date : 02/24/2026
Last Update Date : 05/27/2026

Similar Medicare Providers

1982311320 — MRS. STEPHANI RENEE SPAINHOUR RD
Practice Location Address:
142 PETIT RD
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76708-7700
Practice Phone: 254-221-9059
Practice Fax:
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1841298494 — MRS. LAURA S BYAS LPC
Practice Location Address:
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Practice Fax:
1386625135 — MARYLOU BUYSE MD
Practice Location Address:
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Practice Fax:
1104808658 — NATALIE C NEWMAN PA-C
Practice Location Address:
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Directions to “SPAINHOUR NUTRITION THERAPY ” Practice Location

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