Provider Demographics
NPI:1871126276
Name:MEARIDY, DON K
Entity type:Individual
Prefix:
First Name:DON
Middle Name:K
Last Name:MEARIDY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10010 S WHIMBREL CIR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77385-0006
Mailing Address - Country:US
Mailing Address - Phone:832-545-0960
Mailing Address - Fax:
Practice Address - Street 1:10010 S WHIMBREL CIR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77385-0006
Practice Address - Country:US
Practice Address - Phone:832-545-0960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-14
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health