MEDICARE: ALEJANDRO MEJIA 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
1	204F00000X	Transplant Surgery Physician	L7043	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8F6244	OTHER	TX	MEDICARE-FT. WORTH

Other Identifiers

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

General Provider Information

NPI Number	:	1508832536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRO MEJIA M.D.

Provider Business Mailing Address
First Line	:	1411 N BECKLEY AVE
Second Line	:	PAV III STE#268
City	:	DALLAS
State	:	TX
Zip	:	75203-1259
Country	:	US
Telephone Number	:	214-947-4400
Fax Number	:	214-947-4404

Provider Business Practice Location Address
First Line	:	1411 N BECKLEY AVE
Second Line	:	PAV III STE#268
City	:	DALLAS
State	:	TX
Zip	:	75203-1259
Country	:	US
Telephone Number	:	214-947-4400
Fax Number	:	214-947-4404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	03/07/2024

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Directions to “ ALEJANDRO MEJIA M.D.” Practice Location

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