| Patricia Henry Lewandowski, RD, LD, CDE | |
|
6875 Fm 1488 Rd, Suite 1400, Magnolia, TX 77354-4520 | |
| (281) 259-9943 | |
| (281) 259-9142 |
| Full Name | Patricia Henry Lewandowski |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 6875 Fm 1488 Rd, Magnolia, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699856146 | NPI | - | NPPES |
| 00J21A | Other | TX | MEDICARE GROUP NUMBER |
| 094010801 | Other | TX | MEDICAID GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT00285 (Texas) | Primary |
| Provider Name | Timberland Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528061157 PECOS PAC ID: 7719875491 Enrollment ID: O20040514000302 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Henry Lewandowski, RD, LD, CDE 6875 Fm 1488 Rd, Suite 1400, Magnolia, TX 77354-4520 Ph: (281) 259-9943 | Patricia Henry Lewandowski, RD, LD, CDE 6875 Fm 1488 Rd, Suite 1400, Magnolia, TX 77354-4520 Ph: (281) 259-9943 |
Leal-vas Nutrition Concept Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7115 Casita Dr, Magnolia, TX 77354 Phone: 713-240-6191 | |
Cayleigh Macleod, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27114 Davis Hill Ln, Magnolia, TX 77354 Phone: 603-969-2207 | |
Mrs. Stacy Marie Gutierrez, FNP-C Dietitian Medicare: Accepting Medicare Assignments Practice Location: 20003 Mahogany Ridge Dr, Magnolia, TX 77355 Phone: 443-955-9836 | |
Rachel Dzaka, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 28911 Champion Oaks Dr, Magnolia, TX 77354 Phone: 717-712-2352 |