Provider Demographics
NPI:1538412275
Name:MEEKS, DUSTY JOE (FNP-C)
Entity type:Individual
Prefix:MR
First Name:DUSTY
Middle Name:JOE
Last Name:MEEKS
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1711 MARTIN DR # 100
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-6738
Mailing Address - Country:US
Mailing Address - Phone:817-341-1300
Mailing Address - Fax:817-263-9706
Practice Address - Street 1:1711 MARTIN DR # 100
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-6738
Practice Address - Country:US
Practice Address - Phone:817-341-1300
Practice Address - Fax:817-570-0183
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX607702363LF0000X
TXAP122580363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily