Mimi Chan, RD, LD, CDE

Registered Dietitian · Katy, TX

Individual Active NPI

NPI number 1154616050

Practice location

515 S FRY Rd Ste a
Suite #165
Katy, TX 77450-9100
Phone
(832) 916-2698

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NPI record

NPI
1154616050
Entity type
Individual (Type 1)
Enumeration date
June 20, 2011
Last updated
September 22, 2021
Certified
September 22, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X — —

Mailing address

565 S Mason Rd Ste 118
Katy, TX 77450-2437
Phone
(832) 916-2698

About Mimi Chan

Mimi Chan, RD, LD, CDE is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 515 S FRY Rd Ste a, Suite #165, Katy, TX 77450-9100. The NPI number 1154616050 was assigned on June 20, 2011 and the record was last updated on September 22, 2021.

Frequently asked questions

What is the NPI number of Mimi Chan, RD, LD, CDE?

The NPI number is 1154616050.

What is the phone number of Mimi Chan?

The phone number listed for the practice location is (832) 916-2698.

Where is Mimi Chan located?

515 S FRY Rd Ste a, Suite #165, Katy, TX 77450-9100.

What is the taxonomy code for Mimi Chan?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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