MEYER L. PROLER MD AND ASSOCIATES INC

Provider Demographics

• NPI: 1457460677
• Name: MEYER L. PROLER MD AND ASSOCIATES INC
• Entity Type: Organization
• Organization Name: MEYER L. PROLER MD AND ASSOCIATES INC
• Authorized Official - Title/Position: PHYSICIAN
• Authorized Official - Prefix: DR
• Authorized Official - First Name: MEYER
• Authorized Official - Middle Name: LEON
• Authorized Official - Last Name: PROLER
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 888-283-5023
• Mailing Address - Street 1: 1001 TEXAS ST
• Mailing Address - Street 2: SUITE 450
• Mailing Address - City: HOUSTON
• Mailing Address - State: TX
• Mailing Address - Zip Code: 77002-3182
• Mailing Address - Country: US
• Mailing Address - Phone: 888-283-5023
• Mailing Address - Fax: 832-553-2556
• Practice Address - Street 1: 1001 TEXAS ST
• Practice Address - Street 2: SUITE 450
• Practice Address - City: HOUSTON
• Practice Address - State: TX
• Practice Address - Zip Code: 77002-3182
• Practice Address - Country: US
• Practice Address - Phone: 888-283-5023
• Practice Address - Fax: 832-553-2556
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-08-30
• Last Update Date: 2016-03-29

Provider Licenses

State	License ID	Taxonomies
TX	D0260	2084N0600X
AL	SP-5	2084N0600X
AK	6371	2084N0600X
AZ	37381	2084N0600X
AR	R4671	2084N0600X
CA	C53031	2084N0600X
CO	41757	2084N0600X
DC	MD035403	2084N0600X
DE	C1-0009390	2084N0600X
FL	ME88096	2084N0600X
GA	49472	2084N0600X
ID	M-9526	2084N0600X
IL	036-101720	2084N0600X
IN	01063043A	2084N0600X
KS	04-30461	2084N0600X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	2084N0600X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Clinical Neurophysiology	Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
TX	0049NB-TX-BCBS	Other	DEPT. OF LABOR
TX	1396012-07	Medicaid
TX	1396012-07	Medicaid