Provider Demographics
NPI:1154110385
Name:MEYER, ERIC JR (LMT)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:MEYER
Suffix:JR
Gender:
Credentials:LMT
Other - Prefix:MR
Other - First Name:ERIC
Other - Middle Name:
Other - Last Name:MEYER
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:18306 CAMPBELLFORD DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-7987
Mailing Address - Country:US
Mailing Address - Phone:832-495-7819
Mailing Address - Fax:
Practice Address - Street 1:17146 N ELDRIDGE PKWY STE G
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-2862
Practice Address - Country:US
Practice Address - Phone:832-973-2314
Practice Address - Fax:281-547-8041
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT144952225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist