Provider Demographics
NPI:1942790324
Name:SEITZ, TAYLER LYNN (RDN, LD)
Entity Type:Individual
Prefix:
First Name:TAYLER
Middle Name:LYNN
Last Name:SEITZ
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 1:155 BIRDSALL ST APT 205
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8181
Mailing Address - Country:US
Mailing Address - Phone:832-702-9356
Mailing Address - Fax:
Practice Address - Street 1:155 BIRDSALL ST APT 205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-8181
Practice Address - Country:US
Practice Address - Phone:832-702-9356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-11
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84987133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered