Provider Demographics
NPI:1467887133
Name:NABER, MEREDITH ELISE (PA-C)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ELISE
Last Name:NABER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 W SUNSET RD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1774
Mailing Address - Country:US
Mailing Address - Phone:210-504-9993
Mailing Address - Fax:
Practice Address - Street 1:366 W SUNSET RD BLDG 2
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1774
Practice Address - Country:US
Practice Address - Phone:210-504-9993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA14128363A00000X
NC0010-05728363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant