Provider Demographics
NPI:1689187411
Name:RAINBOW NUTRITION CONSULTING, LLC
Entity Type:Organization
Organization Name:RAINBOW NUTRITION CONSULTING, LLC
Other - Org Name:TEXAS DIABETES NUTRITIONISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:
Authorized Official - Last Name:UMOH
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, RD, LD, CDE
Authorized Official - Phone:281-475-2275
Mailing Address - Street 1:920 MEDICAL PLAZA DR STE 330
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3271
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:281-962-3033
Practice Address - Street 1:920 MEDICAL PLAZA DR STE 330
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3271
Practice Address - Country:US
Practice Address - Phone:832-663-0037
Practice Address - Fax:281-962-3033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-15
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT83741133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty