NPI age
4 years
Enumerated 2022-01-08
● Active Type 2 · Organization
Deer Lake Lodge, Llc
Deer Lake Lodge, Llc is 1 of 261 nutritionist organizations in Texas.
Primary specialty
Nutritionist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Boulware
Spa & Wellness Director
Last NPPES update
2022-01-08
Source: monthly bulk 2026-05
How this organization compares
Across 261 active nutritionist providers in Texas.
NPI age
4 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-01Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
10500 Deer Lake Lodge Rd
Montgomery, TX 773169604
Mailing address
Po Box 70709
Houston, TX 772700709
Authorized official
Tracy Boulware
Spa & Wellness Director
📞 2814145111
Specialties
-
Nutritionist PrimaryA specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Organic Investments, llc
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.