Organization
COMPOSITION ID HOUSTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA CUEVA RD,LD (REGISTERED DIETITIAN)
(832) 729-5797
Entity
Organization
Contact information
Practice address
3801 KIRBY DR STE 415, HOUSTON, TX 77098-4154
(832) 729-5797
Mailing address
3801 KIRBY DR STE 415, HOUSTON, TX 77098-4154
(832) 729-5797
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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