| Plant Forward Dietitian | |
|
2500 W Illinois Ave # 100 Midland TX 79701-6384 | |
| (432) 217-8440 | |
| Not Available |
| Full Name | Plant Forward Dietitian |
|---|---|
| Speciality | Clinic/center |
| Location | 2500 W Illinois Ave # 100, Midland, Texas |
| Authorized Official Name and Position | Hilary Cosby (OWNER) |
| Authorized Official Contact | 4322178440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plant Forward Dietitian 1714 Princeton Ave Midland TX 79701-5763 | Plant Forward Dietitian 2500 W Illinois Ave # 100 Midland TX 79701-6384 Ph: (432) 217-8440 |
| NPI Number | 1548950751 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548950751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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