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NPI Code Detail

MEDICARE: COURTNEY KAY MYERS PA-C

MEDICARE:   COURTNEY KAY MYERS  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA14083TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154976660
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY KAY MYERS PA-C
Provider Business Mailing Address
First Line : PO BOX 2129
Second Line :
City : ODESSA
State : TX
Zip : 79760-2129
Country : US
Telephone Number : 432-337-3117
Fax Number : 432-640-6366
Provider Business Practice Location Address
First Line : 540 W 5TH ST STE 460
Second Line :
City : ODESSA
State : TX
Zip : 79761-5068
Country : US
Telephone Number : 432-337-3117
Fax Number : 432-640-6366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2019
Last Update Date : 04/10/2026

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Directions to “ COURTNEY KAY MYERS PA-C” Practice Location

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