Healthcare Provider Details

I. General information

NPI: 1629238092
Provider Name (Legal Business Name): MEGAN LYNN BARNWELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN LYNN WOEHRLE MD

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 04/20/2020
Certification Date: 04/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 ROGER BROOKE DR
SAN ANTONIO TX
78234-4504
US

IV. Provider business mailing address

3551 ROGER BROOKE DR STE 3600
FORT SAM HOUSTON TX
78234-4504
US

V. Phone/Fax

Practice location:
  • Phone: 210-916-0935
  • Fax:
Mailing address:
  • Phone: 210-916-0935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD70259
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberS1345
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: