Individual
MR. DEHORNE SIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
7001 CORPORATE DR, STE. 120, HOUSTON, TX 77036-5139
(713) 773-0803
(713) 271-5422
Mailing address
7001 CORPORATE DR, STE # 120, HOUSTON, TX 77036-5139
(713) 773-0803
(713) 271-5422
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT82704
TX STATE BOARD LISCENSE
TX
Enumeration date
03/21/2014
Last updated
11/30/2015
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