MEDICARE: SARAH MCCALLA MEEK NURSE PRACTITIONER

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	363LF0000X	Family Nurse Practitioner	AP140534	TX

General Provider Information

NPI Number	:	1982160875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MCCALLA MEEK NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	3813 SUMMERCREST DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-3419
Country	:	US
Telephone Number	:	203-829-4180
Fax Number	:	817-887-9158

Provider Business Practice Location Address
First Line	:	4900 WHITE SETTLEMENT RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76114-3919
Country	:	US
Telephone Number	:	817-241-2485
Fax Number	:	817-887-9158

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

Provider Enumeration Date	:	02/15/2019
Last Update Date	:	08/28/2023

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