Provider Demographics
NPI:1962213272
Name:TIENTCHEU, TINA RICE (DC-N)
Entity type:Individual
Prefix:MS
First Name:TINA
Middle Name:RICE
Last Name:TIENTCHEU
Suffix:
Gender:F
Credentials:DC-N
Other - Prefix:MRS
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:KINGUE-ELESSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15831 YORKTOWN CROSSING PKWY UNIT 1403
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1323
Mailing Address - Country:US
Mailing Address - Phone:713-402-9672
Mailing Address - Fax:
Practice Address - Street 1:4201 CYPRESS CREEK PKWY STE 405
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3440
Practice Address - Country:US
Practice Address - Phone:713-402-9672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program