Provider Demographics
NPI:1619259868
Name:LINDBLOM, EMMA MARIA (RD)
Entity Type:Individual
Prefix:MISS
First Name:EMMA
Middle Name:MARIA
Last Name:LINDBLOM
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 POST OAK BLVD
Mailing Address - Street 2:WILLIAMS TOWER, SUITE 4100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-6100
Mailing Address - Country:US
Mailing Address - Phone:866-435-5643
Mailing Address - Fax:832-390-2350
Practice Address - Street 1:2800 POST OAK BLVD
Practice Address - Street 2:WILLIAMS TOWER, SUITE 4100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-6100
Practice Address - Country:US
Practice Address - Phone:866-435-5643
Practice Address - Fax:832-390-2350
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX985142133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered