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NPI Code Detail

MEDICARE: DR. MATHIEU MEYERS DPT

MEDICARE: DR. MATHIEU MEYERS DPT
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
1225100000XPhysical Therapist1276619TX

General Provider Information

NPI Number : 1366988255
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATHIEU MEYERS DPT
Provider Business Mailing Address
First Line : PO BOX 8150
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78468-8150
Country : US
Telephone Number : 361-993-4778
Fax Number : 361-993-4779
Provider Business Practice Location Address
First Line : 2101 AIRLINE RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-2641
Country : US
Telephone Number : 361-993-4778
Fax Number : 361-993-4779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2017
Last Update Date : 01/16/2017

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