Provider Demographics
NPI:1982061974
Name:BYBEE, MEGHANN
Entity type:Individual
Prefix:
First Name:MEGHANN
Middle Name:
Last Name:BYBEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 N PRESTON RD STE 329
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-3188
Mailing Address - Country:US
Mailing Address - Phone:945-304-2542
Mailing Address - Fax:469-649-8713
Practice Address - Street 1:130 N PRESTON RD STE 329
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-3188
Practice Address - Country:US
Practice Address - Phone:945-304-2542
Practice Address - Fax:469-649-8713
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX130034363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner