Healthcare Provider Details

I. General information

NPI: 1417454695
Provider Name (Legal Business Name): MEGAN L. BATTLES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 04/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 SPRING MIST DR APT 1420
ARLINGTON TX
76011-8958
US

IV. Provider business mailing address

2014 SPRING MIST DR APT 1420
ARLINGTON TX
76011-8958
US

V. Phone/Fax

Practice location:
  • Phone: 214-412-5483
  • Fax:
Mailing address:
  • Phone: 214-412-5483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: