Provider Demographics
NPI:1003238981
Name:ZHOU, MIRIAM (RDN LD)
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:RDN LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 RONE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5043
Mailing Address - Country:US
Mailing Address - Phone:956-292-9539
Mailing Address - Fax:
Practice Address - Street 1:1001 RONE DR STE 2
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5043
Practice Address - Country:US
Practice Address - Phone:956-252-9539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-13
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82314133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1083762OtherCDR