Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 649903 | TX |
NPI | 1043259922 |
---|---|
Provider Name | Mrs. Heather Badeaux Meador |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 17/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
191897102 (MDACC) | (05) | TX |
8Y8356 (MDACC) | BCBS (MDACC) (01) | TX |
OR2949 | OFFICIAL RECOGNITION PNP (01) | SC |
R89553 | REGISTERED NURSE LICENSE (01) | SC |