Basic Information
Provider Information
NPI: 1922341759
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINTON
FirstName: ERIN
MiddleName: CHANDLER
NamePrefix:  
NameSuffix:  
Credential: RD/LD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CHANDLER
OtherFirstName: ERIN
OtherMiddleName: KATHLEEN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: RD/LD
OtherLastNameType: 1
Mailing Information
Address1: 2727 W HOLCOMBE BLVD
Address2:  
City: HOUSTON
State: TX
PostalCode: 770251669
CountryCode: US
TelephoneNumber: 7134420000
FaxNumber:  
Practice Location
Address1: 2727 W HOLCOMBE BLVD
Address2:  
City: HOUSTON
State: TX
PostalCode: 770251669
CountryCode: US
TelephoneNumber: 7134420000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/29/2013
LastUpdateDate: 03/29/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
133V00000XDT80950TXY Dietary & Nutritional Service ProvidersDietitian, Registered 

No ID Information.


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