Individual
DR. EMILY SULLIVAN MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1051 US HIGHWAY 90 E, CASTROVILLE, TX 78009
(830) 931-3336
(830) 931-3508
Mailing address
1051 US HIGHWAY 90 E, CASTROVILLE, TX 78009-5210
(830) 931-3336
(830) 931-3508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M4353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029PT
BLUE CROSS
TX
01
—
0080JS
BLUE CROSS
TX
05
—
185600705
—
TX
01
—
P00787426
MEDICARE RAILROAD
TX
Enumeration date
10/10/2006
Last updated
06/29/2018
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