Healthcare Provider Details

I. General information

NPI: 1598489569
Provider Name (Legal Business Name): DR. ABNER ANTONIO MEJIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 10/03/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 S GESSNER RD
HOUSTON TX
77036-6802
US

IV. Provider business mailing address

7950 S GESSNER RD
HOUSTON TX
77036-6802
US

V. Phone/Fax

Practice location:
  • Phone: 713-484-6011
  • Fax: 713-484-6017
Mailing address:
  • Phone: 713-484-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number65666
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: