Provider Demographics
NPI:1114243128
Name:MEYER, ERIC GERARD II (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:GERARD
Last Name:MEYER
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 BERGQUIST DRIVE STE 1
Mailing Address - Street 2:WHMC PSYCHIATRY
Mailing Address - City:LACKLAND AFB
Mailing Address - State:TX
Mailing Address - Zip Code:78236-9908
Mailing Address - Country:US
Mailing Address - Phone:210-292-5941
Mailing Address - Fax:210-292-5944
Practice Address - Street 1:2200 BERGQUIST DRIVE STE 1
Practice Address - Street 2:WHMC PSYCHIATRY
Practice Address - City:LACKLAND AFB
Practice Address - State:TX
Practice Address - Zip Code:78236-9908
Practice Address - Country:US
Practice Address - Phone:210-292-5941
Practice Address - Fax:210-292-5944
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01070368A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice