Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTINE COLLYMORE, RD, LD, CSP
ActivePediatric Nutrition · FORT SAM HOUSTON, TX
Registration Details
- NPI Number
- 1952571903
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2008 (18.146551226293 yrs)
- Last Updated
- Aug 4, 2023
- Licenses
-
DT80391 (TX)DT80391 (TX)DT80391 (TX)
Practice Information
- Address
-
3551 ROGER BROOKE DRFORT SAM HOUSTON, TX, 782344504Browse TX providers · Browse ZIP 78234
- Phone
- 2109161092
- Fax
- 2109165634
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
- Additional Specialty
- Metabolic Nutrition
- Additional Specialty
- Pediatric Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.