Healthcare Provider Details

I. General information

NPI: 1407242589
Provider Name (Legal Business Name): BRITTANY MEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2015
Last Update Date: 01/06/2024
Certification Date: 01/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 N WASHINGTON AVE STE 13
BRYAN TX
77803-5369
US

IV. Provider business mailing address

309 N WASHINGTON AVE STE 13
BRYAN TX
77803-5369
US

V. Phone/Fax

Practice location:
  • Phone: 469-774-4837
  • Fax:
Mailing address:
  • Phone: 855-673-2876
  • Fax: 979-314-1093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number71698
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number59184
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: