Healthcare Provider Details

I. General information

NPI: 1922875160
Provider Name (Legal Business Name): BRITTANY P PRICE RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2023
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4214 ANDREWS HWY STE 107
MIDLAND TX
79703-4813
US

IV. Provider business mailing address

4214 ANDREWS HWY STE 240
MIDLAND TX
79703-4817
US

V. Phone/Fax

Practice location:
  • Phone: 432-221-5971
  • Fax:
Mailing address:
  • Phone: 432-221-5970
  • Fax: 432-221-5981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License NumberDT88979
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: