Individual
ERIN MICHELLE MEIMERSTORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1935 MOTOR ST, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-2604
(214) 456-6287
Mailing address
5314 CARNABY ST, APT 145-10, IRVING, TX 75038-3110
(918) 640-6673
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT80268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
963201
REGISTERED DIETITIAN
—
01
—
DT80268
LICENSED DIETITIAN
TX
Enumeration date
11/01/2006
Last updated
07/08/2007
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