Healthcare Provider Details

I. General information

NPI: 1376479543
Provider Name (Legal Business Name): MEGAN MCVEIGH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18511 HIGHLANDER MEDICS ST
FORT BLISS TX
79906-5327
US

IV. Provider business mailing address

13409 CARTERTON AVE
HORIZON CITY TX
79928-7564
US

V. Phone/Fax

Practice location:
  • Phone: 401-523-9076
  • Fax:
Mailing address:
  • Phone: 401-523-9076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: