Organization
REGION 18 EDUCATION SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA FLOWERS (ECI COORDINATOR)
(432) 563-2380
Entity
Organization
Contact information
Practice address
2811 LAFORCE BLVD, MIDLAND, TX 79711-0580
(432) 563-2380
(432) 561-4377
Mailing address
PO BOX 60580, MIDLAND, TX 79711-0580
(432) 563-2380
(432) 561-4377
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TEXAS PROVIDER ID
TEXAS PROVIDER ID
TX
Enumeration date
05/24/2007
Last updated
08/22/2020
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