Provider Demographics
NPI:1427455310
Name:MCGUFFEY, MERIDITH ANN (PA)
Entity type:Individual
Prefix:
First Name:MERIDITH
Middle Name:ANN
Last Name:MCGUFFEY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:MERIDITH
Other - Middle Name:ANN
Other - Last Name:LANDRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:3535 VICTORY GROUP WAY
Mailing Address - Street 2:STE 200
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6721
Mailing Address - Country:US
Mailing Address - Phone:972-726-6464
Mailing Address - Fax:972-726-6444
Practice Address - Street 1:3535 VICTORY GROUP WAY STE 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6721
Practice Address - Country:US
Practice Address - Phone:972-712-5100
Practice Address - Fax:972-712-5113
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant