Provider Demographics
NPI:1407425192
Name:MEEKER-GONZALEZ, BRITTANY MAE
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MAE
Last Name:MEEKER-GONZALEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:MAE
Other - Last Name:MEEKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:219 IDAHO
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78203-1007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2025 MEMORY LN STE 300
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-7488
Practice Address - Country:US
Practice Address - Phone:949-484-9517
Practice Address - Fax:949-569-1295
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM68973363LF0000X
AZ312833363LF0000X
TN36592363LF0000X
DELG-0012821363LF0000X
MT202661363LF0000X
OHAPRN.CNP.0037550363LF0000X
PASP031647363LF0000X
AK235444363LF0000X
TX1030705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily