Doctor Name: | MR. MICHAEL GREY MEADOR |
NPI Number: | 1033424189 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 929 Hilltop Dr Weatherford, TX - 760865845 |
Business Phone Number: | 8175967576 |
Business Fax Number: | 8175947901 |
Mailing Address: | 929 Hilltop Dr, WEATHERFORD |
State: | TX |
Postal Code: | 760865845 |
Phone Number: | 8175967576 |
Fax Number: | 8175947901 |
NPI Enumeration Date: | 08/13/2010 |
NPI Last Update Date: | 11/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |