VICTOR NUTRITION LLC NPI 1023654670

NPI Information

  • NPI: 1023654670
  • Provider Name: VICTOR NUTRITION, LLC
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • Doing Business As: VICTOR NUTRITION CLINIC
  • Address: 2600 S SHORE BLVD STE 300
    LEAGUE CITY, TX
    ZIP 77573
  • Phone: (281) 436-9668

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NPI Details

VICTOR NUTRITION, LLC is a dietitian registered in League City, TX. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. VICTOR NUTRITION, LLC NPI is 1023654670. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Victor Nutrition Clinic.

The provider's business location address is:

2600 S SHORE BLVD STE 300
LEAGUE CITY, TX
ZIP 77573-944
Phone: (281) 436-9668
Fax: (281) 402-6286

The provider's authorized official is Madonna Marie Mamerow .
The authorized official title is Owner/registered Dietitian and has the following contact phone number (281) 469-9668.

The enumeration date for this NPI number is 11/19/2019 and was last updated on 1/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredYes
2133VN1005XDietitian, RegisteredNutrition, RenalNo
3133VN1006XDietitian, RegisteredNutrition, MetabolicNo
4133VN1101XDietitian, RegisteredNutrition, GerontologicalNo
5133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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