Provider Demographics
NPI:1114568581
Name:THUMMEL, ALLISON (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:THUMMEL
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4334 POMPANO LAKE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2737
Mailing Address - Country:US
Mailing Address - Phone:281-202-3232
Mailing Address - Fax:281-767-4001
Practice Address - Street 1:4334 POMPANO LAKE LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2737
Practice Address - Country:US
Practice Address - Phone:281-217-8440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-07
Last Update Date:2023-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT85195133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered