Boon P Chuah, MS, RD, LD
Individual provider Active NPI Registered Dietitian · Krum, TX
NPI 1992010698 · NPPES record last updated Aug 18, 2010
Key facts
- NPI
- 1992010698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DT06896 (TX)
- Practice address
- 1224 Feather Crest Dr
Krum, TX 76249-7531 - Phone
- (469) 226-7021
- NPI assigned
- Aug 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT06896 | TX | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT06896 | TX | Yes |
Addresses
Primary practice location
1224 Feather Crest Dr
Krum, TX 76249-7531
Mailing address
1224 Feather Crest Dr
Krum, TX 76249-7531
Other providers in Krum, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.