Provider Demographics
NPI:1366583353
Name:JOWERS, MEREDITH
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:
Last Name:JOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:STANFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5925 W STATE HIGHWAY 29
Mailing Address - Street 2:
Mailing Address - City:BERTRAM
Mailing Address - State:TX
Mailing Address - Zip Code:78605-3938
Mailing Address - Country:US
Mailing Address - Phone:512-756-8738
Mailing Address - Fax:
Practice Address - Street 1:1601 S WATER ST
Practice Address - Street 2:
Practice Address - City:BURNET
Practice Address - State:TX
Practice Address - Zip Code:78611-4532
Practice Address - Country:US
Practice Address - Phone:512-756-6180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist