Organization
VIDAWELL NUTRITION CENTER LLC
Active
Organization
VIDAWELL NUTRITION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA FERNANDEZ RD, LDN (REGISTERED DIETITIAN)
(713) 540-0157
Entity
Organization
Contact information
Practice address
7737 SOUTHWEST FWY STE 415, HOUSTON, TX 77074-1800
(713) 988-0653
Mailing address
7737 SOUTHWEST FWY STE 415, HOUSTON, TX 77074-1800
(713) 988-0653
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
03/23/2023
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