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NPI Code Detail

MEDICARE: TORY A. MEYER M.D.

MEDICARE:   TORY A. MEYER  M.D.
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
12086S0120XPediatric Surgery PhysicianK9847TX
2208600000XSurgery PhysicianK9847TX

Other Identifiers

General Provider Information

NPI Number : 1205828407
Entity Type Code : Individual
Provider Name (Legal Business Name) : TORY A. MEYER M.D.
Provider Business Mailing Address
First Line : 1301 BARBARA JORDAN BLVD.
Second Line : SUITE 400
City : AUSTIN
State : TX
Zip : 78723-3078
Country : US
Telephone Number : 512-708-1234
Fax Number : 512-708-4567
Provider Business Practice Location Address
First Line : 1301 BARBARA JORDAN BLVD.
Second Line : SUITE 400
City : AUSTIN
State : TX
Zip : 78723-3078
Country : US
Telephone Number : 512-708-1234
Fax Number : 512-708-4567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 02/02/2012

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Directions to “ TORY A. MEYER M.D.” Practice Location

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