Provider Demographics
NPI:1952343493
Name:BYINGTON, MEREDITH A (MD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:A
Last Name:BYINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:A
Other - Last Name:GROESBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1025 W HIGHWAY 175
Mailing Address - Street 2:
Mailing Address - City:CRANDALL
Mailing Address - State:TX
Mailing Address - Zip Code:75114
Mailing Address - Country:US
Mailing Address - Phone:972-472-3800
Mailing Address - Fax:972-472-3828
Practice Address - Street 1:1025 W HIGHWAY 175
Practice Address - Street 2:
Practice Address - City:CRANDALL
Practice Address - State:TX
Practice Address - Zip Code:75114
Practice Address - Country:US
Practice Address - Phone:972-472-3800
Practice Address - Fax:972-472-3828
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1037208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI52231Medicare UPIN
TX8G5498Medicare ID - Type Unspecified