Healthcare Provider Details

I. General information

NPI: 1457341612
Provider Name (Legal Business Name): MEREDITH PIERCE R.N.F.A.,C.N.O.R.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7401 MAIN ST
HOUSTON TX
77030-4509
US

IV. Provider business mailing address

7401 MAIN ST
HOUSTON TX
77030-4509
US

V. Phone/Fax

Practice location:
  • Phone: 713-799-2300
  • Fax: 713-794-3380
Mailing address:
  • Phone: 713-799-2300
  • Fax: 713-794-3380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number664328
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: