Provider Demographics
NPI:1386209005
Name:EASTER, DEBORAH ELINDA (RD, LD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ELINDA
Last Name:EASTER
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6002 OPAL CREST LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5226
Mailing Address - Country:US
Mailing Address - Phone:909-241-6936
Mailing Address - Fax:
Practice Address - Street 1:6002 OPAL CREST LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5226
Practice Address - Country:US
Practice Address - Phone:909-241-6936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84908133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered