Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | 21256 | OK |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 21256 | OK |
N | 207W00000X | Ophthalmologist | 04-35821 | KS |
N | 207W00000X | Ophthalmologist | 12296 | MT |
N | 207W00000X | Ophthalmologist | 21256 | OK |
N | 208D00000X | General Practice Physician | 21256 | OK |
NPI | 1649273418 |
---|---|
Provider Name | Dr. James C Meehan JR. |
First Address | Tulsa, OK 74137-1612 |
Second Address | Tulsa, OK 74137-1612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 25/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100131880A | (05) | OK |
H59330 | (02) | OK |