NPI Code Details Logo

NPI 1760352975

NPI 1760352975 : ROBERT MEASON III : MCKINNEY, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760352975
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ROBERT MEASON III
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/11/2025
-----------------------------------------------------
    Last Update Date     |    11/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1402 S CUSTER RD STE 803 
-----------------------------------------------------
    City                 |    MCKINNEY
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75072-1453
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-714-7558
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2209 CHERRY HILL LN 
-----------------------------------------------------
    City                 |    MCKINNEY
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75072-5425
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-322-9141
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    88739
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.