Victor Nutrition Clinic

LBN: Victor Nutrition, Llc
Victor Nutrition Clinic is an health care organization with primary practice located at 2600 S Shore Blvd Ste 300 , League City TX 77573-2944. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty. Victor Nutrition, Llc can be contacted via phone (281) 436-9668, or through Mamerow, Madonna Marie via phone (281) 469-9668.

Contact Information

Primary practice address
2600 S Shore Blvd Ste 300 League City TX 77573-2944
Phone: (281) 436-9668
Fax: (833) 259-9548
Website:
Map and Directions
Authorized official contact:
Name: Mamerow, Madonna Marie PHD, RD, LD
Phone: (281) 469-9668

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1023654670
LBN Legal business name Victor Nutrition, Llc
DBA Doing business as Victor Nutrition Clinic
Authorized official Mamerow, Madonna Marie PHD, RD, LD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2019
Last updated Sep 3rd, 2022 - about 3 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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