Provider Demographics
NPI:1417647280
Name:MONTHEI, DONNA KAUFMAN (RDN, LD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:KAUFMAN
Last Name:MONTHEI
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16515 JACKSON ST # 2
Mailing Address - Street 2:
Mailing Address - City:VOLENTE
Mailing Address - State:TX
Mailing Address - Zip Code:78641-6044
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16515 JACKSON ST # 2
Practice Address - Street 2:
Practice Address - City:VOLENTE
Practice Address - State:TX
Practice Address - Zip Code:78641-6044
Practice Address - Country:US
Practice Address - Phone:512-415-5611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX846811133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered