Provider Demographics
NPI:1265425201
Name:MERIWETHER, PAUL W (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:W
Last Name:MERIWETHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:950 N 19TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2494
Mailing Address - Country:US
Mailing Address - Phone:325-672-3688
Mailing Address - Fax:325-673-2490
Practice Address - Street 1:950 N 19TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2494
Practice Address - Country:US
Practice Address - Phone:325-672-3688
Practice Address - Fax:325-673-2490
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXMDF6946207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXMDF6946OtherWORKERS COMP INSURANCE
TXGH63OtherBLUE CROSS BLUE SHIELD TX
TX752034771001OtherTRICARE SO REGION
TX089542702Medicaid
TX119346100Other1ST CARE INSURANCE
TXB24872Medicare UPIN
TX200003434Medicare PIN
TX119346100Other1ST CARE INSURANCE