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NPI Code Detail

MEDICARE: ANGELA MERAZ PA

MEDICARE: ANGELA MERAZ PA
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
1363A00000XPhysician Assistant
2363AS0400XSurgical Physician AssistantPA12055TX

General Provider Information

NPI Number : 1316326465
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MERAZ PA
Provider Business Mailing Address
First Line : 677 CATHEDRAL DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 677 CATHEDRAL DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6018
Country : US
Telephone Number : 605-755-6720
Fax Number : 605-755-6101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2015
Last Update Date : 03/24/2025

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Directions to “ ANGELA MERAZ PA” Practice Location

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