Provider Demographics
NPI:1912570714
Name:SELLARS, MEGAN MILES (FNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MILES
Last Name:SELLARS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12171 W PARMER LN STE 102
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7362
Mailing Address - Country:US
Mailing Address - Phone:512-537-2177
Mailing Address - Fax:512-572-1277
Practice Address - Street 1:12171 W PARMER LN STE 102
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7362
Practice Address - Country:US
Practice Address - Phone:512-537-2177
Practice Address - Fax:512-572-1277
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1033252207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine