Individual
MEGHAN HERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 S AUSTIN AVE, GEORGETOWN, TX 78626-7541
(512) 819-1100
Mailing address
109 MAMMOTH, TAYLOR, TX 76574-4348
(210) 677-9432
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1154480
TX
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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