MEDICARE: ANGIE MEJIA

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	163WN0002X	Neonatal Intensive Care Registered Nurse	1163884	TX

General Provider Information

NPI Number	:	1528993144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGIE MEJIA

Provider Business Mailing Address
First Line	:	4402 TAMARON PARK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-5411
Country	:	US
Telephone Number	:	210-464-2575
Fax Number	:

Provider Business Practice Location Address
First Line	:	4402 TAMARON PARK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-5411
Country	:	US
Telephone Number	:	210-464-2575
Fax Number	:

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

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “ ANGIE MEJIA ” Practice Location

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