Provider Demographics
NPI:1982622759
Name:MEREAU, TRINITY M (DPM)
Entity type:Individual
Prefix:DR
First Name:TRINITY
Middle Name:M
Last Name:MEREAU
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 EAST 30TH STREET
Mailing Address - Street 2:SUITE 311
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3378
Mailing Address - Country:US
Mailing Address - Phone:512-474-6666
Mailing Address - Fax:512-474-6668
Practice Address - Street 1:900 EAST 30TH STREET
Practice Address - Street 2:SUITE 311
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3378
Practice Address - Country:US
Practice Address - Phone:512-474-6666
Practice Address - Fax:512-474-6668
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3194213ES0103X
TX1809213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
V06122Medicare UPIN
TX8F24084Medicare PIN
U5567AMedicare ID - Type Unspecified