Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 5103 | TX |
N | 111NN1001X | Nutrition | 5103 | TX |
N | 111NR0200X | Radiology | 5103 | TX |
N | 213ER0200X | Radiology | 5103 | TX |
N | 111NR0400X | Rehabilitation Chiropractor | 5103 | TX |
N | 111NX0100X | Occupational Health | 5103 | TX |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 5103 | TX |
NPI | 1720128721 |
---|---|
Provider Name | Dr. Stuart A Meyers |
First Address | Dallas, TX 75204 |
Second Address | Dallas, TX 75204-5206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 08/07/2007 |