Provider Demographics
NPI:1114534724
Name:WOODLANDS NUTRITION LLC
Entity Type:Organization
Organization Name:WOODLANDS NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:VEATH
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LD, CEDRD-S
Authorized Official - Phone:281-882-3438
Mailing Address - Street 1:10210 GROGANS MILL RD STE 320
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1143
Mailing Address - Country:US
Mailing Address - Phone:281-882-3438
Mailing Address - Fax:281-742-1311
Practice Address - Street 1:10210 GROGANS MILL RD STE 320
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1143
Practice Address - Country:US
Practice Address - Phone:281-882-3438
Practice Address - Fax:281-742-1311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty