MEDICARE: DR. CALVIN EINAR MEIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	F7842	TX
2	207W00000X	Ophthalmology Physician	F7842	TX

General Provider Information

NPI Number	:	1164487617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CALVIN EINAR MEIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 737507
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-7507
Country	:	US
Telephone Number	:	800-833-5921
Fax Number	:	713-513-5613

Provider Business Practice Location Address
First Line	:	21 SPURS LN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1669
Country	:	US
Telephone Number	:	800-833-5921
Fax Number	:	713-513-5613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	06/12/2024

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