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NPI Code Detail

MEDICARE: LINDA A MEREDITH NP

MEDICARE: LINDA A MEREDITH NP
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
1363L00000XNurse Practitioner255985TX
2363L00000XNurse Practitioner118969OK

General Provider Information

NPI Number : 1093798167
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA A MEREDITH NP
Provider Business Mailing Address
First Line : 1108 LAVACA ST
Second Line : SUITE 110-320
City : AUSTIN
State : TX
Zip : 78701-2172
Country : US
Telephone Number : 512-477-4088
Fax Number : 512-482-0390
Provider Business Practice Location Address
First Line : 3001 W BLUE STARR DR
Second Line :
City : CLAREMORE
State : OK
Zip : 74017-2544
Country : US
Telephone Number : 918-342-5432
Fax Number : 918-342-0835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 07/21/2022

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Directions to “ LINDA A MEREDITH NP” Practice Location

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