Provider Demographics
NPI:1265854525
Name:NUTRASSESS
Entity Type:Organization
Organization Name:NUTRASSESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARMAGNE
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:EMELUE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LD
Authorized Official - Phone:281-813-7269
Mailing Address - Street 1:2346 PLANTATION BEND DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478
Mailing Address - Country:US
Mailing Address - Phone:281-813-7269
Mailing Address - Fax:281-565-5933
Practice Address - Street 1:2346 PLANTATION BEND DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4484
Practice Address - Country:US
Practice Address - Phone:281-813-7269
Practice Address - Fax:281-565-5933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80860251E00000X, 251S00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health