Erin Domachowski, MS, RD, LDN | |
2701 E Grauwyler Rd Ste T1-1126, Irving, TX 75061-3414 | |
(734) 318-1967 | |
Not Available |
Full Name | Erin Domachowski |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2701 E Grauwyler Rd Ste T1-1126, Irving, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1013654318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DN005400 (Pennsylvania) | Primary |
Provider Name | Surely Health Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053078360 PECOS PAC ID: 3072960491 Enrollment ID: O20231107002002 |
Mailing Address | Practice Location Address |
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Erin Domachowski, MS, RD, LDN 1003 Long Point Dr, Erie, PA 16505-5415 Ph: (734) 318-1967 | Erin Domachowski, MS, RD, LDN 2701 E Grauwyler Rd Ste T1-1126, Irving, TX 75061-3414 Ph: (734) 318-1967 |
Mrs. Lori Beth Bryant, RD, LD, CPT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4324 N Belt Line Rd, Suite C204, Irving, TX 75038 Phone: 214-596-9302 Fax: 214-596-9315 | |
Season Health Dietitian Medicare: Medicare Enrolled Practice Location: 6565 N Macarthur Blvd Ste 225, Irving, TX 75039 Phone: 888-807-4117 | |
Alleigh Netz, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Decker Dr Ste 360, Irving, TX 75062 Phone: 469-954-8002 | |
Carla G Walters, MS, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6420 N Macarthur Blvd, Suite 130, Irving, TX 75039 Phone: 832-237-3500 Fax: 281-897-9906 | |
Kathryn Fink Martinez, MS, RD, LD, CEDRD-S Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2701 Wallin Dr, Irving, TX 75062 Phone: 214-449-0564 | |
Sanaa Bhatti, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 255 Woodson St, Irving, TX 75063 Phone: 919-271-4759 |