Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | E4520 | TX |
Y | 207XS0117X | Orthopaedic Spine Surgeon | E4520 | TX |
NPI | 1174522536 |
---|---|
Provider Name | Dr. Gilbert R Meadows |
First Address | San Antonio, TX 78258-4228 |
Second Address | San Antonio, TX 78258-4228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 18/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
115910502 | (05) | TX |
B24814 | (02) | TX |