Provider Demographics
NPI:1063842615
Name:SCHLACHTER, MOSHE M (MS RD LD CDCES)
Entity Type:Individual
Prefix:MR
First Name:MOSHE
Middle Name:M
Last Name:SCHLACHTER
Suffix:
Gender:M
Credentials:MS RD LD CDCES
Other - Prefix:MR
Other - First Name:MOE
Other - Middle Name:
Other - Last Name:SCHLACHTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS RD LD
Mailing Address - Street 1:11827 PEPPERDINE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2624
Mailing Address - Country:US
Mailing Address - Phone:646-369-6399
Mailing Address - Fax:855-874-5388
Practice Address - Street 1:900 LOVETT BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-3908
Practice Address - Country:US
Practice Address - Phone:832-844-0789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82991133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered