Provider Demographics
NPI:1578255576
Name:MEI, JOSHUA (RD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:MEI
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 JULY FOURTH RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-1776
Mailing Address - Country:US
Mailing Address - Phone:903-312-4549
Mailing Address - Fax:
Practice Address - Street 1:904 JULY FOURTH RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-1776
Practice Address - Country:US
Practice Address - Phone:903-312-4549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86095878133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered