Healthcare Provider Details

I. General information

NPI: 1629271259
Provider Name (Legal Business Name): MEREDITH ELAINE HULSEY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2007
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2008 W OHIO AVE
MIDLAND TX
79701-5946
US

IV. Provider business mailing address

2211 HUMBLE AVE
MIDLAND TX
79705-8628
US

V. Phone/Fax

Practice location:
  • Phone: 432-683-3206
  • Fax: 432-683-2616
Mailing address:
  • Phone: 972-824-2369
  • Fax: 432-683-2616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberM7283
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: