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NPI Code Detail

MEDICARE: MISS ELIZABETH MEZA

MEDICARE: MISS ELIZABETH MEZA
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
1390200000XStudent in an Organized Health Care Education/Training ProgramTX

General Provider Information

NPI Number : 1407551203
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ELIZABETH MEZA
Provider Business Mailing Address
First Line : 864 SHERRY LN S
Second Line :
City : KRUGERVILLE
State : TX
Zip : 76227-2808
Country : US
Telephone Number : 972-358-0116
Fax Number :
Provider Business Practice Location Address
First Line : 7703 FLOYD CURL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3900
Country : US
Telephone Number : 210-358-3931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 04/14/2026

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Directions to “ MISS ELIZABETH MEZA ” Practice Location

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