Individual
MS. MIMI H TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, MS, RD
Contact information
Practice address
3719 SHADOW WICK LN, HOUSTON, TX 77082-5659
(281) 627-8288
Mailing address
3719 SHADOW WICK LN, HOUSTON, TX 77082-5659
(281) 627-8288
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
DT03820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT03820
TEXAS STATE BOARD OF EXAMINERS OF DIETITIANS
TX
Enumeration date
09/03/2012
Last updated
11/03/2013
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