Provider Demographics
NPI:1992297188
Name:CREATIVE MEDICAL COMMUNICATIONS
Entity type:Organization
Organization Name:CREATIVE MEDICAL COMMUNICATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:NAVEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LD
Authorized Official - Phone:214-620-6569
Mailing Address - Street 1:3336 SPRING MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-3953
Mailing Address - Country:US
Mailing Address - Phone:214-620-6569
Mailing Address - Fax:
Practice Address - Street 1:3336 SPRING MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-3953
Practice Address - Country:US
Practice Address - Phone:214-620-6569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07116133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty