Provider Demographics
NPI:1821447780
Name:HEALTHBEX
Entity Type:Organization
Organization Name:HEALTHBEX
Other - Org Name:BIOENERGETIX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:CHAPA
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LD, CSCS
Authorized Official - Phone:956-460-2488
Mailing Address - Street 1:4006 CHEROKEE DR
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-5844
Mailing Address - Country:US
Mailing Address - Phone:956-460-2488
Mailing Address - Fax:
Practice Address - Street 1:4006 CHEROKEE DR
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-5844
Practice Address - Country:US
Practice Address - Phone:956-460-2488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN86032606133V00000X
TX86032606133VN1005X, 133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty