Healthcare Provider Details

I. General information

NPI: 1508810375
Provider Name (Legal Business Name): PAUL D MEREDITH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 RICHMOND RD
TEXARKANA TX
75503-0711
US

IV. Provider business mailing address

3515 RICHMOND RD
TEXARKANA TX
75503-0711
US

V. Phone/Fax

Practice location:
  • Phone: 903-791-9355
  • Fax: 903-831-7258
Mailing address:
  • Phone: 903-791-9355
  • Fax: 903-793-0496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC4734
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberF8573
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: