Provider Demographics
NPI:1356093843
Name:HUTCHINSON, MARY KATHARINE ELIZABETH (RD)
Entity Type:Individual
Prefix:
First Name:MARY KATHARINE
Middle Name:ELIZABETH
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:MARY KATHARINE
Other - Middle Name:ELIZABETH
Other - Last Name:CROWLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:8018 NORTHBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-4522
Mailing Address - Country:US
Mailing Address - Phone:713-301-2905
Mailing Address - Fax:
Practice Address - Street 1:4517 KINGWOOD DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-2621
Practice Address - Country:US
Practice Address - Phone:281-361-0342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT85668133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered