Provider Demographics
NPI:1932852852
Name:FLOYD, MEAGAN CHISHOLM (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:CHISHOLM
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:MRS
Other - First Name:MEAGAN
Other - Middle Name:ALEJANDRA
Other - Last Name:FLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAT, ATC
Mailing Address - Street 1:9941 DRYDEN LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-5268
Mailing Address - Country:US
Mailing Address - Phone:336-470-1769
Mailing Address - Fax:
Practice Address - Street 1:3800 GAYLORD PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9416
Practice Address - Country:US
Practice Address - Phone:336-470-1769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT82062255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer