Provider Demographics
NPI:1457849127
Name:ARTHUR, MEGAN NICOLE (DO)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:NICOLE
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:NICOLE
Other - Last Name:BURLESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:24518 NORTHWEST FWY STE 275
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2199
Mailing Address - Country:US
Mailing Address - Phone:346-618-4100
Mailing Address - Fax:
Practice Address - Street 1:24518 NORTHWEST FWY STE 275
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2199
Practice Address - Country:US
Practice Address - Phone:346-618-4100
Practice Address - Fax:346-618-4101
Is Sole Proprietor?:No
Enumeration Date:2018-04-27
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA293830207Q00000X, 207QS0010X, 207QS0010X
TXBP10064989207Q00000X
TXS4737207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110190178AMedicaid