Individual provider · NPI-1

Karen Adewale, RD, LD

Dietitian, Registered · Houston, TX

NPI number1518699149
StatusActive
Last updated in NPPESNov 13, 2024

Details

NPI
1518699149
Entity type
Individual (NPI-1)
Name
Karen Adewale
Credential
RD, LD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 30, 2022
Certification date
Nov 13, 2024
Last updated
Nov 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredDT84803TXYes
133N00000X NutritionistDT84803TX

Practice location

13930 Bellaire Blvd
Houston, TX 77083-1719

Phone 713-773-0803

Mailing address

13930 Bellaire Blvd
Houston, TX 77083-1719

Other practice locations

23900 Katy Fwy
Katy, TX 77494-1323

Phone 281-644-7574

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