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NPI Code Detail

MEDICARE: BEET'N PATH NUTRITION LLC

MEDICARE: BEET'N PATH NUTRITION LLC
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 : 1922773886
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEET'N PATH NUTRITION LLC
Provider Business Mailing Address
First Line : 3636 OLD SPANISH TRIAL
Second Line : B-1 #247
City : HOUSTON
State : TX
Zip : 77021-2457
Country : US
Telephone Number : 832-413-3150
Fax Number :
Provider Business Practice Location Address
First Line : 4151 SOUTHWEST FWY STE 440
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7306
Country : US
Telephone Number : 832-413-3150
Fax Number :
Authorized Official
Title or Position : OWNER/DIETITIAN
Name : YOLANDA ANNETTE PRINGLE-LANCASTER
Credential :
Telephone Number : 832-413-3150
Provider Enumeration Date : 08/12/2021
Last Update Date : 03/26/2025

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Directions to “BEET'N PATH NUTRITION LLC ” Practice Location

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