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Organization
THE HEALTHIE CODE
Active
Organization
THE HEALTHIE CODE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTAL VARDEMAN (REGISTERED DIETITIAN)
(936) 465-1168
Entity
Organization
Contact information
Practice address
921 S EVENSIDE AVE, HENDERSON, TX 75654-4257
(936) 465-1168
Mailing address
921 S EVENSIDE AVE, HENDERSON, TX 75654-4257
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1401X
Pediatric Critical Care Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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