Individual
BRENDA B. SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. , L.D.
Contact information
Practice address
521 INTERSTATE 45 S STE 12, HUNTSVILLE, TX 77340-5651
(936) 291-0900
(936) 291-0955
Mailing address
4 FAIRMONT CT, CONROE, TX 77304-1314
(936) 539-9048
(936) 539-9343
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00499
TX
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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