MEDICARE: MS. TINA RICE TIENTCHEU DC-N

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133NN1002X	Nutrition Education Nutritionist
2	390200000X	Student in an Organized Health Care Education/Training Program
3	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1962213272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TINA RICE TIENTCHEU DC-N

Provider Business Mailing Address
First Line	:	15831 YORKTOWN CROSSING PKWY UNIT 1403
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1323
Country	:	US
Telephone Number	:	713-402-9672
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 CYPRESS CREEK PKWY STE 405
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3440
Country	:	US
Telephone Number	:	713-402-9672
Fax Number	:

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

Provider Enumeration Date	:	01/16/2025
Last Update Date	:	01/16/2025

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