Provider Demographics
NPI:1306427307
Name:ARTHUR, MEREDITH YVONNE (MS, RD, LD)
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:YVONNE
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3908 CEDAR FALLS DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-6791
Mailing Address - Country:US
Mailing Address - Phone:469-855-0596
Mailing Address - Fax:
Practice Address - Street 1:3908 CEDAR FALLS DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-6791
Practice Address - Country:US
Practice Address - Phone:469-855-0596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT06315133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered