Doctor Name: | MRS. MIMI CHAN |
NPI Number: | 1154616050 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CDN, CNSC, CDE |
License Number: | 007477-1 |
Business Practice Address: | 515 S Fry Rd Ste A Suite #165 Katy, TX - 774509100 |
Business Phone Number: | 8329162698 |
Business Fax Number: | |
Mailing Address: | 515 S Fry Rd Ste A, Suite #165 KATY |
State: | TX |
Postal Code: | 774509100 |
Phone Number: | 8329162698 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2011 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 007477-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |