Provider Demographics
NPI:1700661865
Name:MONROE, MEGAN P
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:P
Last Name:MONROE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 BAYSIDE DR APT 12212
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-6931
Mailing Address - Country:US
Mailing Address - Phone:972-217-2774
Mailing Address - Fax:
Practice Address - Street 1:1801 BAYSIDE DR APT 12212
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-6931
Practice Address - Country:US
Practice Address - Phone:972-217-2774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator