Provider Demographics
NPI:1891833430
Name:HEALTHSTEPS RX, INC.
Entity Type:Organization
Organization Name:HEALTHSTEPS RX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WINTER
Authorized Official - Suffix:
Authorized Official - Credentials:RD, RN
Authorized Official - Phone:832-327-9332
Mailing Address - Street 1:103 SWEET LEAF GROVE LN
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3756
Mailing Address - Country:US
Mailing Address - Phone:832-327-9332
Mailing Address - Fax:832-327-9332
Practice Address - Street 1:103 SWEET LEAF GROVE LN
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-3756
Practice Address - Country:US
Practice Address - Phone:832-327-9332
Practice Address - Fax:832-327-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-04
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT02706133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00920XMedicare ID - Type UnspecifiedGROUP #