Healthcare Provider Details

I. General information

NPI: 1306898085
Provider Name (Legal Business Name): ANGELA M YOUNG ACHONG MEJIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8390 LYNDON B JOHNSON FWY STE 100
DALLAS TX
75243-1215
US

IV. Provider business mailing address

8390 LYNDON B JOHNSON FWY STE 1000
DALLAS TX
75243-1288
US

V. Phone/Fax

Practice location:
  • Phone: 214-750-9977
  • Fax: 214-750-9983
Mailing address:
  • Phone: 214-750-9977
  • Fax: 214-750-9983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number26503
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: