| Vyandus Llc | |
|
110 Jackson Rd, Coldspring, TX 77331-9116 | |
| (832) 396-6036 | |
| Not Available |
| Full Name | Vyandus Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 110 Jackson Rd, Coldspring, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619776770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Bethany Braunstein |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013268820 PECOS PAC ID: 3678715224 Enrollment ID: I20250825004007 |
| Provider Name | Jeffrey Daniel Gonzales |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932928082 PECOS PAC ID: 7911409545 Enrollment ID: I20250904000812 |
| Provider Name | Gina R Ward |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649698820 PECOS PAC ID: 5799273975 Enrollment ID: I20251021000534 |
| Provider Name | Alejandra Mera |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215895537 PECOS PAC ID: 0648757161 Enrollment ID: I20260127000995 |
| Mailing Address | Practice Location Address |
|---|---|
| Vyandus Llc Po Box 125, Coldspring, TX 77331-0125 Ph: (832) 396-6036 | Vyandus Llc 110 Jackson Rd, Coldspring, TX 77331-9116 Ph: (832) 396-6036 |