MEDICARE: BRIAN MEGGERS

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1811376916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN MEGGERS

Provider Business Mailing Address
First Line	:	2268 BUNKER HILL CIR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-2922
Country	:	US
Telephone Number	:	214-901-8120
Fax Number	:

Provider Business Practice Location Address
First Line	:	2268 BUNKER HILL CIR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-2922
Country	:	US
Telephone Number	:	214-901-8120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2015
Last Update Date	:	05/21/2015

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Directions to “ BRIAN MEGGERS ” Practice Location

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