Provider Demographics
NPI:1518575752
Name:ALLEN, MEREDITH ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ANN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:ANN
Other - Last Name:SCHUELKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12720 HILLCREST RD STE 725
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-7110
Mailing Address - Country:US
Mailing Address - Phone:972-566-8899
Mailing Address - Fax:
Practice Address - Street 1:12720 HILLCREST RD STE 725
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-7110
Practice Address - Country:US
Practice Address - Phone:972-566-8899
Practice Address - Fax:972-566-5775
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA13703363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant