MEDICARE: PAUL MEIER CLINIC. P. A.

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	101YP2500X	Professional Counselor	9552	TX
2	106H00000X	Marriage & Family Therapist	004483-0409	TX
3	2084P0800X	Psychiatry Physician	K7174	TX

General Provider Information

NPI Number	:	1801836838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL MEIER CLINIC. P. A.

Provider Business Mailing Address
First Line	:	2099 N COLLINS BLVD
Second Line	:	SUITE 200
City	:	RICHARDSON
State	:	TX
Zip	:	75080-2698
Country	:	US
Telephone Number	:	972-437-4698
Fax Number	:	972-671-2087

Provider Business Practice Location Address
First Line	:	1701 RIVER RUN
Second Line	:	SUITE 402
City	:	FORT WORTH
State	:	TX
Zip	:	76107-6579
Country	:	US
Telephone Number	:	972-437-4698
Fax Number	:	972-671-2087

Authorized Official
Title or Position	:	V. P. CORPORATE COMPLIANCE
Name	:	JACQUELYN WILLIAMS
Credential	:
Telephone Number	:	972-437-4698

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	09/11/2025

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