MEDICARE: MRS. PATRICIA L MEADOWS FNP

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	363L00000X	Nurse Practitioner	563522	TX

General Provider Information

NPI Number	:	1770656498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA L MEADOWS FNP

Provider Business Mailing Address
First Line	:	12007 CANYON MILLS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-6545
Country	:	US
Telephone Number	:	281-758-1897
Fax Number	:

Provider Business Practice Location Address
First Line	:	10370 RICHMOND AVE STE 1125
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-4157
Country	:	US
Telephone Number	:	281-320-8572
Fax Number	:	281-320-8582

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

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	07/20/2009

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