Blossom Nutrition Llc | |
904 July Fourth Rd Midland TX 79706-1776 | |
(903) 312-4549 | |
Not Available |
Full Name | Blossom Nutrition Llc |
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Speciality | Clinic/Center |
Location | 904 July Fourth Rd, Midland, Texas |
Authorized Official Name and Position | Joshua Mei (REGISTERED DIETITIAN/OWNER) |
Authorized Official Contact | 9033124549 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Blossom Nutrition Llc 904 July Fourth Rd Midland TX 79706-1776 Ph: (903) 312-4549 | Blossom Nutrition Llc 904 July Fourth Rd Midland TX 79706-1776 Ph: (903) 312-4549 |
NPI Number | 1083398200 |
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Provider Enumeration Date | 06/09/2023 |
Last Update Date | 08/22/2023 |
Medicare PECOS PAC ID | 6305208927 |
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Medicare Enrollment ID | O20230815000433 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083398200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Joshua Mei |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1578255576 PECOS PAC ID: 7113389735 Enrollment ID: I20230815000580 |
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