Melissa Hawthorne, MS, RD, LD | |
13418 Queensbury Ln, Houston, TX 77079-6016 | |
(713) 705-0562 | |
Not Available |
Full Name | Melissa Hawthorne |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 13418 Queensbury Ln, 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 |
---|---|---|---|
1659701316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DT07696 (Texas) | Primary |
Provider Name | St. Hope Foundation Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992869846 PECOS PAC ID: 4880508878 Enrollment ID: O20040219000896 |
Mailing Address | Practice Location Address |
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Melissa Hawthorne, MS, RD, LD 13418 Queensbury Ln, Houston, TX 77079-6016 Ph: () - | Melissa Hawthorne, MS, RD, LD 13418 Queensbury Ln, Houston, TX 77079-6016 Ph: (713) 705-0562 |
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