Provider Demographics
NPI:1023392040
Name:ROY, DONNA S (MS, RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:S
Last Name:ROY
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5903 BELROSE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-2313
Mailing Address - Country:US
Mailing Address - Phone:713-726-9021
Mailing Address - Fax:
Practice Address - Street 1:5903 BELROSE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-2313
Practice Address - Country:US
Practice Address - Phone:713-726-9021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT04532133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered