Individual provider · NPI-1

Georgiana Bradshaw, RN

Nutritionist · Houston, TX

NPI number1770751687
StatusActive
Last updated in NPPESFeb 13, 2008

Details

NPI
1770751687
Entity type
Individual (NPI-1)
Name
Georgiana Bradshaw
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Feb 13, 2008
Last updated
Feb 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133N00000X Nutritionist632417TXYes

Practice location

3 Riverway
Suite 825
Houston, TX 77056-1919

Phone 713-840-5245 · Fax 281-897-9906

Mailing address

4609 S Padre Island Dr
Corpus Christi, TX 78411-4413

Phone 832-237-3500 · Fax 832-237-0200

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