Individual
MERIDITH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6109 CHICTORA CV, AUSTIN, TX 78759-6263
(512) 796-9651
Mailing address
6109 CHICTORA CV, AUSTIN, TX 78759-6263
(512) 796-9651
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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