MEDICARE: TERRY RANDALL MEADOWS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	ME30752	FL

General Provider Information

NPI Number	:	1043268899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRY RANDALL MEADOWS M.D.

Provider Business Mailing Address
First Line	:	13737 NOEL RD
Second Line	:	SUITE 1600
City	:	DALLAS
State	:	TX
Zip	:	75240-1331
Country	:	US
Telephone Number	:	469-401-2386
Fax Number	:

Provider Business Practice Location Address
First Line	:	13737 NOEL RD
Second Line	:	SUITE 1600
City	:	DALLAS
State	:	TX
Zip	:	75240-1331
Country	:	US
Telephone Number	:	469-401-2386
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/27/2016

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