Provider Demographics
NPI:1992459317
Name:HOUGH, LINDSAY RIORDAN (RD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:RIORDAN
Last Name:HOUGH
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MRS
Other - First Name:LINDSAY
Other - Middle Name:RIORDAN
Other - Last Name:HOUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LINDSAY RIORDAN AXT
Mailing Address - Street 1:7615 SHADYVILLA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-5007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5656 KELLEY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77026-1967
Practice Address - Country:US
Practice Address - Phone:713-566-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered