Organization
GREATER HOUSTON NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A WILSON MS, RD, LD, CSO (DIETITIAN)
(254) 493-5962
Entity
Organization
Contact information
Practice address
15410 FAIRFIELD FALLS WAY, CYPRESS, TX 77433-5879
(254) 493-5962
Mailing address
15410 FAIRFIELD FALLS WAY, CYPRESS, TX 77433-5879
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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