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NPI Code Detail

MEDICARE: MERIDIAN HEALTH POST ACUTE PLLC

MEDICARE: MERIDIAN HEALTH POST ACUTE PLLC
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician
2363AM0700XMedical Physician Assistant
3363L00000XNurse Practitioner
4207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1609731819
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERIDIAN HEALTH POST ACUTE PLLC
Provider Business Mailing Address
First Line : 950 W BETHANY DR STE 570
Second Line :
City : ALLEN
State : TX
Zip : 75013-3845
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 950 W BETHANY DR STE 570
Second Line :
City : ALLEN
State : TX
Zip : 75013-3845
Country : US
Telephone Number : 844-941-3087
Fax Number : 844-593-1570
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : GRADY GOODWIN
Credential : MD
Telephone Number : 214-564-2510
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

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Directions to “MERIDIAN HEALTH POST ACUTE PLLC ” Practice Location

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