Mary Dutta, RD | |
9415 Broadway St Ste 121, Pearland, TX 77584-8094 | |
(832) 691-9906 | |
(346) 502-3585 |
Full Name | Mary Dutta |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 9415 Broadway St Ste 121, Pearland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326772187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DT87871 (Texas) | Primary |
Provider Name | American Health Assessments, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497027098 PECOS PAC ID: 3870755564 Enrollment ID: O20120425000323 |
Mailing Address | Practice Location Address |
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Mary Dutta, RD 3250 Pebble Beach Ln, Pearland, TX 77584-7108 Ph: (832) 691-9906 | Mary Dutta, RD 9415 Broadway St Ste 121, Pearland, TX 77584-8094 Ph: (832) 691-9906 |
Mrs. Gina Greer Goodgame, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2017 Broadway St, Pearland, TX 77581 Phone: 281-485-9990 Fax: 281-485-9469 | |
Mrs. Mary Keeler, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2515 Business Center Dr, Pearland, TX 77584 Phone: 713-442-7200 | |
Alyssa Catherine Werner, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10970 Shadow Creek Pkwy, Suite 270, Pearland, TX 77584 Phone: 713-840-5245 Fax: 281-897-9906 | |
Jennifer Ann Garibaldi, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9720 Broadway St Apt 216, Pearland, TX 77584 Phone: 865-484-6632 | |
Claudette Washington-mbah, Dietitian Medicare: Medicare Enrolled Practice Location: 2011 Broadway St, 125, Pearland, TX 77581 Phone: 281-485-4512 | |
Dan Tan Nguyen, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2419 Netherwood Ct, Pearland, TX 77584 Phone: 281-943-9492 |