Provider Demographics
NPI:1750798286
Name:LINDSAY, JENNIFER H (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:H
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 WEST LOOP S STE 260
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2434
Mailing Address - Country:US
Mailing Address - Phone:713-622-6422
Mailing Address - Fax:713-622-6427
Practice Address - Street 1:5959 WEST LOOP S STE 260
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2434
Practice Address - Country:US
Practice Address - Phone:713-622-6422
Practice Address - Fax:713-622-6427
Is Sole Proprietor?:No
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT06128133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered