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NPI Code Detail

MEDICARE: JAN M MERIN MD

MEDICARE: JAN M MERIN 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
1207RX0202XMedical Oncology Physician92-304NM
2207R00000XInternal Medicine PhysicianS9035TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2900521294OTHERNMMEDICARE GROUP

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 : 1225031321
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAN M MERIN MD
Provider Business Mailing Address
First Line : 1330 WIRT RD STE R
Second Line :
City : HOUSTON
State : TX
Zip : 77055-4901
Country : US
Telephone Number : 346-406-1730
Fax Number :
Provider Business Practice Location Address
First Line : 1330 WIRT RD STE R
Second Line :
City : HOUSTON
State : TX
Zip : 77055-4901
Country : US
Telephone Number : 346-406-1730
Fax Number : 346-388-1414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 05/29/2023

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