Provider Demographics
NPI:1639176787
Name:MEYER, ADRIAN (MD)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
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 1:970 N COIT RD STE 3040
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5418
Mailing Address - Country:US
Mailing Address - Phone:972-238-8092
Mailing Address - Fax:972-238-8093
Practice Address - Street 1:970 N COIT RD STE 3040
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5418
Practice Address - Country:US
Practice Address - Phone:972-238-8092
Practice Address - Fax:972-238-8093
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1819207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K1471OtherBC BS
TXC19339Medicare UPIN
TX8K1471Medicare UPIN
TX8K4936Medicare PIN