Mrs Tabitha Louise Lenox, MS, RD, LD | |
10101 Fondren Rd Ste 331, Houston, TX 77096-5126 | |
(844) 532-7623 | |
(832) 532-4311 |
Full Name | Mrs Tabitha Louise Lenox |
---|---|
Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Metabolic |
Location | 10101 Fondren Rd Ste 331, 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 |
---|---|---|---|
1932374196 | NPI | - | NPPES |
3717530-01 | Medicaid | TX | |
3717530-02 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT80655 (Texas) | Secondary |
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | DT80655 (Texas) | Primary |
Provider Name | Masters In Dietetics, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811158025 PECOS PAC ID: 2466503552 Enrollment ID: O20090701000219 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tabitha Louise Lenox, MS, RD, LD 10101 Fondren Rd Ste 331, Houston, TX 77096-5126 Ph: (844) 532-7623 | Mrs Tabitha Louise Lenox, MS, RD, LD 10101 Fondren Rd Ste 331, Houston, TX 77096-5126 Ph: (844) 532-7623 |
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