Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | K9614 | TX |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | K9614 | TX |
NPI | 1083674576 |
---|---|
Provider Name | Dr. Thomas H. Meade |
First Address | College Station, TX 77845-4081 |
Second Address | College Station, TX 77845-4081 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 05/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H10862 | (02) | TX |