Provider Demographics
NPI:1760762728
Name:MEYERS, ROYCE LEON (PT)
Entity Type:Individual
Prefix:MR
First Name:ROYCE
Middle Name:LEON
Last Name:MEYERS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 N US HIGHWAY 83
Mailing Address - Street 2:
Mailing Address - City:ZAPATA
Mailing Address - State:TX
Mailing Address - Zip Code:78076-3588
Mailing Address - Country:US
Mailing Address - Phone:956-765-1277
Mailing Address - Fax:956-765-5339
Practice Address - Street 1:2113 N US HIGHWAY 83
Practice Address - Street 2:
Practice Address - City:ZAPATA
Practice Address - State:TX
Practice Address - Zip Code:78076-3588
Practice Address - Country:US
Practice Address - Phone:956-765-1277
Practice Address - Fax:956-765-5339
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1003259225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist