Healthcare Provider Details

I. General information

NPI: 1811800204
Provider Name (Legal Business Name): MEGAN AVERY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 E 32ND ST
AUSTIN TX
78705-2703
US

IV. Provider business mailing address

1301 PARKER LN UNIT 742
AUSTIN TX
78741-1054
US

V. Phone/Fax

Practice location:
  • Phone: 512-544-7111
  • Fax:
Mailing address:
  • Phone: 920-246-7861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number72836
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: