Provider Demographics
NPI:1588066559
Name:HOPKINS, RACHEL (RD, LD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:PONDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD
Mailing Address - Street 1:22485 TOMBALL PKWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1551
Mailing Address - Country:US
Mailing Address - Phone:281-251-5234
Mailing Address - Fax:
Practice Address - Street 1:22485 TOMBALL PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1551
Practice Address - Country:US
Practice Address - Phone:281-251-5234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT83414133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered