Katie Russo, RD, LD | |
18839 Mckay Dr, Humble, TX 77338-5721 | |
(281) 446-3655 | |
Not Available |
Full Name | Katie Russo |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 18839 Mckay Dr, Humble, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831808385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT86206 (Texas) | Primary |
Provider Name | Texas Children's Health Plan - The Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437495835 PECOS PAC ID: 5294973673 Enrollment ID: O20130523000676 |
Mailing Address | Practice Location Address |
---|---|
Katie Russo, RD, LD 16624 Lonely Pines Dr, Conroe, TX 77302-8315 Ph: (281) 728-4020 | Katie Russo, RD, LD 18839 Mckay Dr, Humble, TX 77338-5721 Ph: (281) 446-3655 |
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Shannon Marie Canales, MPH, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18980 N Memorial Dr Ste 100, Humble, TX 77338 Phone: 832-458-8354 | |
Miyanna Breaux, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20719 Fox Hound Ln, Humble, TX 77338 Phone: 832-656-0813 | |
Dawn Ash, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12431 Tyler Springs Ln, Humble, TX 77346 Phone: 832-492-1099 | |
Katie Newsome, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1730 Humble Place Dr, Humble, TX 77338 Phone: 713-439-6000 | |
Mrs. Pamela Sheridan-neumann, MPH, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12806 Kinkaid Meadows Ln, Humble, TX 77346 Phone: 781-351-9675 | |
Madeline Rigler, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18980 N Memorial Dr Ste 100, Humble, TX 77338 Phone: 832-644-8930 |