Provider Demographics
NPI:1407207921
Name:BRISTER, MEGAN NOBLE (CNM)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:NOBLE
Last Name:BRISTER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7950 FLOYD CURL DR
Mailing Address - Street 2:SUITE 300/400
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3919
Mailing Address - Country:US
Mailing Address - Phone:210-615-6505
Mailing Address - Fax:210-615-1321
Practice Address - Street 1:7950 FLOYD CURL DR
Practice Address - Street 2:SUITE 300/400
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3919
Practice Address - Country:US
Practice Address - Phone:210-615-6505
Practice Address - Fax:210-615-1321
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP131267363LX0001X, 367A00000X
TX855816163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient