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NPI Code Detail

MEDICARE: DR. JAMES MEJIAS MD

MEDICARE: DR. JAMES MEJIAS 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
1174400000XSpecialist12596PR

General Provider Information

NPI Number : 1083610851
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES MEJIAS MD
Provider Business Mailing Address
First Line : 1505 CHISHOLM TRL
Second Line :
City : WEATHERFORD
State : OK
Zip : 73096-2343
Country : US
Telephone Number : 580-323-2884
Fax Number : 580-323-2579
Provider Business Practice Location Address
First Line : RR 1 BOX 3060
Second Line :
City : CLINTON
State : OK
Zip : 73601-9303
Country : US
Telephone Number : 580-323-2884
Fax Number : 580-323-2579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 07/08/2007

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