Individual
MICHELLE DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
190 HEIGHTS BLVD, HOUSTON, TX 77007-3729
(713) 529-3597
(713) 529-9169
Mailing address
190 HEIGHTS BLVD, HOUSTON, TX 77007-3729
(713) 529-3597
(713) 529-9169
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
DT05411
TX
133V00000X
Registered Dietitian
874215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005886901
—
TX
Enumeration date
09/25/2006
Last updated
11/20/2014
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