Healthcare Provider Details

I. General information

NPI: 1982976346
Provider Name (Legal Business Name): MEGAN ELIZABETH MARTIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN ELIZABETH BRIDGES FNP

II. Dates (important events)

Enumeration Date: 02/01/2012
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 AIRPORT FWY STE 405
BEDFORD TX
76021-6607
US

IV. Provider business mailing address

1305 AIRPORT FWY STE 302
BEDFORD TX
76021-6604
US

V. Phone/Fax

Practice location:
  • Phone: 855-893-5637
  • Fax: 817-666-3873
Mailing address:
  • Phone: 817-283-6995
  • Fax: 888-498-3190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number294040
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number21600
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP125262
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0101031
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: