Michelle'S Blue Carott Gp Llc

LBN: Michelle'S Blue Carott Gp Llc
Michelle'S Blue Carott Gp Llc is an health care organization with primary practice located at 6419 Allentown Dr , Spring TX 77389-3669. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as the primary health care specialty. Michelle'S Blue Carott Gp Llc can be contacted via phone (281) 682-5967, or through Rivera, Michelle Patrice via phone (281) 682-5967.

Contact Information

Primary practice address
6419 Allentown Dr Spring TX 77389-3669
Phone: (281) 682-5967
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Michelle Patrice MS RD CDE LD
Phone: (281) 682-5967

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X DT06278 Texas

Profile Details

NPI number 1598953911
LBN Legal business name Michelle'S Blue Carott Gp Llc
DBA Doing business as
Authorized official Rivera, Michelle Patrice MS RD CDE LD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2007
Last updated Oct 10th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598953911 NPPES
Texas Other 610476 MEDICARE PROVIDER NUMBER

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