Provider Demographics
NPI:1467460204
Name:MEYER, DARREN E (MD)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:E
Last Name:MEYER
Suffix:
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 1:1575 HERITAGE DRIVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069
Mailing Address - Country:US
Mailing Address - Phone:214-856-4483
Mailing Address - Fax:214-856-4487
Practice Address - Street 1:1575 HERITAGE DRIVE
Practice Address - Street 2:SUITE 203
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069
Practice Address - Country:US
Practice Address - Phone:214-856-4483
Practice Address - Fax:214-856-4487
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH64342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115827103Medicaid
TXE39001Medicare UPIN
TX00R46PMedicare ID - Type Unspecified