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General NPI Number Information
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NPI Number | 1598025868
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Entity Type | Organization
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Legal Business Name | MEOZ INC
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 11811 FM 1960 RD W SUITE 198
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City | HOUSTON
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State | TX
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Zip | 77065-3827
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Country | US
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Telephone | 281-469-9100
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Fax | 281-469-9109
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Provider Business Mailing Address
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Address Line | 11811 FM 1960 RD W SUITE 198
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City | HOUSTON
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State | TX
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Zip | 77065-3827
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Country | US
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Telephone | 281-469-9100
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Fax | 281-469-9109
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | MS. JULIE A DEMILLE
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Credential | M.S.N., F.N.P.
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Telephone | 281-469-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 659625
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License Number State | TX
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