Provider Demographics
NPI:1396268439
Name:ESTEP NUTRITION CONSULTING INC
Entity type:Organization
Organization Name:ESTEP NUTRITION CONSULTING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:ESTEP
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD, CDE
Authorized Official - Phone:318-218-4918
Mailing Address - Street 1:21114 UPLAND MANOR CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1505
Mailing Address - Country:US
Mailing Address - Phone:318-218-4918
Mailing Address - Fax:
Practice Address - Street 1:720 N POST OAK RD STE 280
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3813
Practice Address - Country:US
Practice Address - Phone:318-218-4918
Practice Address - Fax:832-218-0842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82812133VN1004X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1154734705OtherINDIVIDUAL NPI NUMBER