MEDICARE: MS. MEGAN ANAIS ZIEGLER

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	1041C0700X	Clinical Social Worker	69619	TX

General Provider Information

NPI Number	:	1053140632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEGAN ANAIS ZIEGLER

Provider Business Mailing Address
First Line	:	5747 SADLER CIR APT 2421
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-6813
Country	:	US
Telephone Number	:	469-380-6393
Fax Number	:

Provider Business Practice Location Address
First Line	:	5747 SADLER CIR APT 2421
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-6813
Country	:	US
Telephone Number	:	469-380-6393
Fax Number	:

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

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	07/31/2024

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