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NPI Code Detail

MEDICARE: DR. MEERA GEORGE MAVELI B.D.S, M.S

MEDICARE:  DR. MEERA GEORGE MAVELI  B.D.S, M.S
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
1122300000XDentist30670TX
21223P0300XPeriodontics30670TX

General Provider Information

NPI Number : 1386034999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEERA GEORGE MAVELI B.D.S, M.S
Provider Business Mailing Address
First Line : 9526 N SAM HOUSTON PKWY E
Second Line : SUITE # 3116
City : HUMBLE
State : TX
Zip : 77396-4733
Country : US
Telephone Number : 832-361-3222
Fax Number :
Provider Business Practice Location Address
First Line : 9526 N SAM HOUSTON PKWY E
Second Line : SUITE # 3116
City : HUMBLE
State : TX
Zip : 77396-4733
Country : US
Telephone Number : 832-361-3222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2015
Last Update Date : 05/29/2015

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Directions to “ DR. MEERA GEORGE MAVELI B.D.S, M.S” Practice Location

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