Provider Demographics
NPI:1700655867
Name:WENG, CHLOE QIAOMING (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:QIAOMING
Last Name:WENG
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 GRAY FOX LOOP
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-5833
Mailing Address - Country:US
Mailing Address - Phone:347-205-1027
Mailing Address - Fax:
Practice Address - Street 1:405 GRAY FOX LOOP
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-5833
Practice Address - Country:US
Practice Address - Phone:347-205-1027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT87792133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered