Provider Demographics
NPI:1750065785
Name:HOTH, COYE SUE (RD, LD)
Entity type:Individual
Prefix:MRS
First Name:COYE
Middle Name:SUE
Last Name:HOTH
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15692 LAKEWAY DR
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77318-3178
Mailing Address - Country:US
Mailing Address - Phone:281-839-5458
Mailing Address - Fax:
Practice Address - Street 1:15692 LAKEWAY DR
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77318-3178
Practice Address - Country:US
Practice Address - Phone:281-839-5458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT81411133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered