Provider Demographics
NPI:1841748480
Name:WATIER, MEGAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:WATIER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24124 CINCO VILLAGE CENTER BLVD
Mailing Address - Street 2:#250
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8396
Mailing Address - Country:US
Mailing Address - Phone:817-713-8617
Mailing Address - Fax:
Practice Address - Street 1:24124 CINCO VILLAGE CENTER BLVD
Practice Address - Street 2:#250
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8396
Practice Address - Country:US
Practice Address - Phone:817-713-8617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13291111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor