Provider Demographics
NPI:1770656498
Name:MEADOWS, PATRICIA L (FNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:L
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12007 CANYON MILLS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-6545
Mailing Address - Country:US
Mailing Address - Phone:281-758-1897
Mailing Address - Fax:
Practice Address - Street 1:10370 RICHMOND AVE STE 1125
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4157
Practice Address - Country:US
Practice Address - Phone:281-320-8572
Practice Address - Fax:281-320-8582
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX563522363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ13874Medicare UPIN