Individual
DR. MEGHAN KATHLEEN MUNISTERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT CAVASOS, TX 76544
(254) 258-5866
Mailing address
CARL DARNALL MEDICAL CENTER, 590 MEDICAL CENTER ROAD, FORT CAVASOS, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0102205958
VA
208D00000X
General Practice Physician
0102205958
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102205958
—
VA
Enumeration date
03/19/2018
Last updated
08/14/2024
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