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NPI Code Detail

MEDICARE: DR. MICHELLE MEEHAN MD

MEDICARE:  DR. MICHELLE  MEEHAN  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
1208000000XPediatrics PhysicianG5366TX

General Provider Information

NPI Number : 1831582923
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE MEEHAN MD
Provider Business Mailing Address
First Line : 4830 PALM ST
Second Line :
City : SEABROOK
State : TX
Zip : 77586-2049
Country : US
Telephone Number : 281-474-2343
Fax Number :
Provider Business Practice Location Address
First Line : 4830 PALM ST
Second Line :
City : SEABROOK
State : TX
Zip : 77586-2049
Country : US
Telephone Number : 281-474-2343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2015
Last Update Date : 03/12/2015

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Directions to “ DR. MICHELLE MEEHAN MD” Practice Location

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