Provider Demographics
NPI:1295222818
Name:HOUSTON, DANIELLE MARY ELIZABETH (RDN, LD)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:MARY ELIZABETH
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:MARY ELIZABETH
Other - Last Name:MCCUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7200 N HIGHWAY 161 STE 120
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-3800
Mailing Address - Country:US
Mailing Address - Phone:214-838-7171
Mailing Address - Fax:214-838-7172
Practice Address - Street 1:7200 N HIGHWAY 161 STE 120
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-3800
Practice Address - Country:US
Practice Address - Phone:214-838-7171
Practice Address - Fax:214-838-7172
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT83504133VN1006X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic