Individual
TORY A. MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 BARBARA JORDAN BLVD., SUITE 400, AUSTIN, TX 78723-3078
(512) 708-1234
(512) 708-4567
Mailing address
1301 BARBARA JORDAN BLVD., SUITE 400, AUSTIN, TX 78723-3078
(512) 708-1234
(512) 708-4567
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K9847
TX
2086S0120X
Pediatric Surgery Physician
K9847
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101751903
—
TX
05
—
112887805
—
TX
Enumeration date
08/16/2005
Last updated
02/02/2012
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