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General NPI Number Information
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NPI Number | 1023513447
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Entity Type | Individual
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Provider Name | MEAGAN VACEK DO
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Gender | Female
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1102 BATES AVE STE C1570
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City | HOUSTON
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State | TX
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Zip | 77030-2698
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Country | US
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Telephone | 832-824-4294
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 BATES AVE STE C1570
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City | HOUSTON
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State | TX
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Zip | 77030-2617
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2021018439
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | V6716
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | V6716
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License Number State | TX
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