Provider Demographics
NPI:1811928146
Name:MEYERS, HARRY FREDERICK (MD)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:FREDERICK
Last Name:MEYERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 261284
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-1284
Mailing Address - Country:US
Mailing Address - Phone:972-566-4040
Mailing Address - Fax:972-769-0884
Practice Address - Street 1:3608 PRESTON RD.
Practice Address - Street 2:SUITE 150
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8651
Practice Address - Country:US
Practice Address - Phone:972-566-4040
Practice Address - Fax:972-769-0884
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6888208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8H1120OtherBLUE CROSS
TX031276103Medicaid
TX031276103Medicaid
TX8228B9Medicare PIN