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NPI Code Detail

MEDICARE: BYRON MESHRAM MD

MEDICARE: BYRON MESHRAM MD
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
1208600000XSurgery PhysicianBP10085762TX

General Provider Information

NPI Number : 1538858584
Entity Type Code : Individual
Provider Name (Legal Business Name) : BYRON MESHRAM MD
Provider Business Mailing Address
First Line : 5525 N STANTON ST APT 32D
Second Line :
City : EL PASO
State : TX
Zip : 79912-6409
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5525 N STANTON ST APT 32D
Second Line :
City : EL PASO
State : TX
Zip : 79912-6409
Country : US
Telephone Number : 214-732-7543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2023
Last Update Date : 05/04/2023

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