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NPI Code Detail

MEDICARE: DR. MEEN MISRA M.D.

MEDICARE: DR. MEEN MISRA M.D.
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
1207R00000XInternal Medicine PhysicianL7814TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P01077209OTHERTXRRMC PTAN

General Provider Information

NPI Number : 1336134105
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEEN MISRA M.D.
Provider Business Mailing Address
First Line : 12221 N MOPAC EXPY
Second Line : AUSTIN DIAGNOSTIC CLINIC
City : AUSTIN
State : TX
Zip : 78758-2401
Country : US
Telephone Number : 512-901-4009
Fax Number : 512-901-3909
Provider Business Practice Location Address
First Line : 12221 N MOPAC EXPY
Second Line : AUSTIN DIAGNOSTIC CLINIC
City : AUSTIN
State : TX
Zip : 78758-2401
Country : US
Telephone Number : 512-901-4009
Fax Number : 512-901-3909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 02/04/2022

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Directions to “ DR. MEEN MISRA M.D.” Practice Location

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