Individual
MRS. HEATHER BADEAUX MEADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
649903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191897102 (MDACC)
—
TX
01
—
8Y8356 (MDACC)
BCBS (MDACC)
TX
01
—
OR2949
OFFICIAL RECOGNITION PNP
SC
01
—
R89553
REGISTERED NURSE LICENSE
SC
Enumeration date
06/06/2006
Last updated
01/17/2014
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