MEDICARE: JULIE MEIGS

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	235Z00000X	Speech-Language Pathologist	109399	TX

General Provider Information

NPI Number	:	1992254296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MEIGS

Provider Business Mailing Address
First Line	:	1000 SAINT LOUIS AVE STE 102
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3377
Country	:	US
Telephone Number	:	817-921-5020
Fax Number	:	817-921-5022

Provider Business Practice Location Address
First Line	:	1000 SAINT LOUIS AVE STE 102
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3377
Country	:	US
Telephone Number	:	817-921-5020
Fax Number	:	817-921-5022

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

Provider Enumeration Date	:	09/27/2016
Last Update Date	:	09/27/2016

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Directions to “ JULIE MEIGS ” Practice Location

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