Healthcare Provider Details

I. General information

NPI: 1629027883
Provider Name (Legal Business Name): SCOTT DAVID MEYER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W 38TH ST
AUSTIN TX
78705-1006
US

IV. Provider business mailing address

2503 DEERFOOT TRL
AUSTIN TX
78704-2713
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-1010
  • Fax:
Mailing address:
  • Phone: 512-441-4068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberH1625
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: