Provider Demographics
NPI:1396074183
Name:BARROCAS, STEPHANIE (RD, LD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:BARROCAS
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 GESSNER RD STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2528
Mailing Address - Country:US
Mailing Address - Phone:713-464-6000
Mailing Address - Fax:713-464-6002
Practice Address - Street 1:915 GESSNER RD STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2528
Practice Address - Country:US
Practice Address - Phone:713-464-6000
Practice Address - Fax:713-494-6002
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07213133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered