Organization
MERIDIAN FAMILY MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BADU FNP (MEMBER/FNP)
(914) 400-4779
Entity
Organization
Contact information
Practice address
3333 BAYSHORE BLVD, SUITE 250, PASADENA, TX 77504-1961
(914) 400-4779
(713) 344-0738
Mailing address
3333 BAYSHORE BLVD, 250, PASADENA, TX 77504-1952
(914) 400-4779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
735840
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
735840
TX
208D00000X
General Practice Physician
735840
TX
Other
Enumeration date
05/06/2010
Last updated
04/11/2011
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