Healthcare Provider Details

I. General information

NPI: 1801048533
Provider Name (Legal Business Name): LINDA J MEYER RN, PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 DACY LN
KYLE TX
78640-6322
US

IV. Provider business mailing address

3066 E COMMERCE ST
SAN ANTONIO TX
78220-1013
US

V. Phone/Fax

Practice location:
  • Phone: 512-268-8900
  • Fax: 512-268-2250
Mailing address:
  • Phone: 210-233-7000
  • Fax: 210-277-6387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP112857
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: