Provider Demographics
NPI:1346260213
Name:MEYER, THOMAS PAUL (DC,DABCO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PAUL
Last Name:MEYER
Suffix:
Gender:M
Credentials:DC,DABCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5520S COOPER ST 111
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-4457
Mailing Address - Country:US
Mailing Address - Phone:817-468-7246
Mailing Address - Fax:817-467-4878
Practice Address - Street 1:5520 S COOPER ST
Practice Address - Street 2:SUITE 111
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-4404
Practice Address - Country:US
Practice Address - Phone:817-468-7246
Practice Address - Fax:817-467-4878
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX4165111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor