Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Meredith Logan Hagstrom

Individual provider Physician Assistant · NPI 1477242345

Meredith Logan Hagstrom is a Physician Assistant in Greenville, Texas. Qualified in 2023, 3 years ago. Practices with Dcs Medical PA, a 154-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

5406 Wesley St
Greenville, TX 75402-6311
Phone: (903) 355-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1477242345
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2023
Last updated in NPPESMay 4, 2023
Certification dateApril 27, 2023
Mailing address405 Covington Cv, Princeton, TX 75407-3024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dcs Medical Pa — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Greenville