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NPI Code Detail

MEDICARE: ADRIAN ALBERTO MEJIA

MEDICARE: ADRIAN ALBERTO MEJIA
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 ProgramBP20072965TX
22084P0800XPsychiatry PhysicianBP30081569TX
32084P0804XChild & Adolescent Psychiatry PhysicianV4152TX
4390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BP20072965OTHERTXMEDICAL LICENSE

General Provider Information

NPI Number : 1487187530
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIAN ALBERTO MEJIA
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-8589
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4701 SAMUELL BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75228-6828
Country : US
Telephone Number : 972-861-5611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2017
Last Update Date : 02/09/2026

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Directions to “ ADRIAN ALBERTO MEJIA ” Practice Location

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