Provider Demographics
NPI:1730433491
Name:CHRISTOFFEL, DONNA J (MS, RD, LD)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:J
Last Name:CHRISTOFFEL
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6239 HURST ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-6334
Mailing Address - Country:US
Mailing Address - Phone:281-235-8724
Mailing Address - Fax:
Practice Address - Street 1:7030 BRETSHIRE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-3704
Practice Address - Country:US
Practice Address - Phone:713-633-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-02
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80201133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered