Provider Demographics
NPI:1003914532
Name:JOIS, SUSHMA (RD)
Entity Type:Individual
Prefix:
First Name:SUSHMA
Middle Name:
Last Name:JOIS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21230 KINGSLAND BLVD
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5899
Mailing Address - Country:US
Mailing Address - Phone:281-492-0009
Mailing Address - Fax:281-492-8009
Practice Address - Street 1:21230 KINGSLAND BLVD
Practice Address - Street 2:SUITE # 100
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5899
Practice Address - Country:US
Practice Address - Phone:281-492-0009
Practice Address - Fax:281-492-8009
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDTO5899133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00466PMedicare ID - Type UnspecifiedPROVIDER NUMBER
TXP69942Medicare UPIN
TX8F7105Medicare PIN