Mary Ann Sia Lantigua, | |
6410 Fannin St Ste 170, Houston, TX 77030-3003 | |
(832) 325-6500 | |
Not Available |
Full Name | Mary Ann Sia Lantigua |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 6410 Fannin St Ste 170, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831673037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT84690 (Texas) | Primary |
Provider Name | Dietitians At Home Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215250568 PECOS PAC ID: 8729118674 Enrollment ID: O20100619000093 |
Mailing Address | Practice Location Address |
---|---|
Mary Ann Sia Lantigua, 6410 Fannin St Ste 170, Houston, TX 77030-3003 Ph: (832) 325-6500 | Mary Ann Sia Lantigua, 6410 Fannin St Ste 170, Houston, TX 77030-3003 Ph: (832) 325-6500 |
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