Provider Demographics
NPI:1477746147
Name:MEIJERS, CAROL ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ELAINE
Last Name:MEIJERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 W BEN WHITE BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-8144
Mailing Address - Country:US
Mailing Address - Phone:818-364-3205
Mailing Address - Fax:
Practice Address - Street 1:3200 N MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:TX
Practice Address - Zip Code:76574-1216
Practice Address - Country:US
Practice Address - Phone:512-309-6005
Practice Address - Fax:512-309-6056
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5860207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine