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NPI Code Detail

MEDICARE: JESSICA REBEKKA MEYER PA-C

MEDICARE:   JESSICA REBEKKA MEYER  PA-C
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
1363AM0700XMedical Physician AssistantPA08377TX

General Provider Information

NPI Number : 1679980734
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA REBEKKA MEYER PA-C
Provider Business Mailing Address
First Line : 7629 TIKI DR
Second Line :
City : FULSHEAR
State : TX
Zip : 77441-1548
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7629 TIKI DR
Second Line :
City : FULSHEAR
State : TX
Zip : 77441-1548
Country : US
Telephone Number : 281-205-4265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2014
Last Update Date : 11/02/2020

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Directions to “ JESSICA REBEKKA MEYER PA-C” Practice Location

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