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Individual

MEREDITH MELTON LAVALLAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
901 7TH AVE STE 2200, FORT WORTH, TX 76104-2722
(682) 885-1050
(501) 364-3966
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
E12233
AR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
S1438
TX

Other

Enumeration date
03/27/2015
Last updated
04/13/2021
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