Provider Demographics
NPI:1588245831
Name:TELENUTRITIONDOCDOTCOM
Entity type:Organization
Organization Name:TELENUTRITIONDOCDOTCOM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:TEMITOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADE-ONOJOBI
Authorized Official - Suffix:
Authorized Official - Credentials:DHSC, RDN
Authorized Official - Phone:281-677-8192
Mailing Address - Street 1:25807 WESTHEIMER PKWY STE 431
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5333
Mailing Address - Country:US
Mailing Address - Phone:281-677-8192
Mailing Address - Fax:
Practice Address - Street 1:25807 WESTHEIMER PKWY STE 431
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5333
Practice Address - Country:US
Practice Address - Phone:281-677-8192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty