| Basic Balance Nutrition, Inc. | |
|
1217 Avenue M Ste 113, Huntsville, TX 77340 | |
| (936) 337-2981 | |
| (936) 755-5115 |
| Full Name | Basic Balance Nutrition, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1217 Avenue M Ste 113, Huntsville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629582796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT84230 (Texas) | Primary |
| Provider Name | Brandi Bonin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285146282 PECOS PAC ID: 8123383072 Enrollment ID: I20180525000119 |
| Provider Name | Allison N Caballero Kral |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447738398 PECOS PAC ID: 5496004483 Enrollment ID: I20210126001356 |
| Provider Name | Stephanie E Hammons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609465939 PECOS PAC ID: 5991119364 Enrollment ID: I20210126001557 |
| Provider Name | Tiffany L Walla |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609445907 PECOS PAC ID: 2668874637 Enrollment ID: I20210713002919 |
| Provider Name | Reagan Whitmer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629820006 PECOS PAC ID: 0941742308 Enrollment ID: I20240613000124 |
| Provider Name | Marcia Diulus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407608441 PECOS PAC ID: 9830636646 Enrollment ID: I20240730000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Basic Balance Nutrition, Inc. 1217 Avenue M Ste 113, Huntsville, TX 77340-4650 Ph: (936) 337-2981 | Basic Balance Nutrition, Inc. 1217 Avenue M Ste 113, Huntsville, TX 77340 Ph: (936) 337-2981 |
Brandi Elizabeth Bonin, MS, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1217 Avenue M Ste 113, Huntsville, TX 77340 Phone: 936-337-2981 Fax: 936-755-5115 | |
Marcia Diulus, MPH, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1217 Avenue M Ste 113, Huntsville, TX 77340 Phone: 936-337-3223 Fax: 936-755-5115 | |
Chanika Teri Moses Smtih, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 Bowers Blvd, 313c, Huntsville, TX 77845 Phone: 936-294-2798 | |
Tiffany Walla, MS, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1217 Avenue M Ste 113, Huntsville, TX 77340 Phone: 936-337-2981 | |
Brenda B. Small, R.D. , L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 521 Interstate 45 S Ste 12, Huntsville, TX 77340 Phone: 936-291-0900 Fax: 936-291-0955 | |
Ms. Penelope Haigler Meyers, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 110 Memorial Hospital Dr, Huntsville, TX 77340 Phone: 936-291-4239 |