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NPI Code Detail

MEDICARE: MICAH S MEYER MD

MEDICARE: MICAH S MEYER MD
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
1207RN0300XNephrology PhysicianL5050TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053350819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICAH S MEYER MD
Provider Business Mailing Address
First Line : 2329 N 39TH ST
Second Line :
City : WACO
State : TX
Zip : 76708-3003
Country : US
Telephone Number : 254-752-5503
Fax Number : 254-752-4844
Provider Business Practice Location Address
First Line : 2329 N 39TH ST
Second Line :
City : WACO
State : TX
Zip : 76708-3003
Country : US
Telephone Number : 254-752-5503
Fax Number : 254-752-4844
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 02/27/2008

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Directions to “ MICAH S MEYER MD” Practice Location

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