Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 15437 | TX |
N | 204E00000X | Oral & Maxillofacial Surgeon | J3856 | TX |
NPI | 1346386950 |
---|---|
Provider Name | Dr. Jamie F Meyers |
First Address | Palestine, TX 75801 |
Second Address | Palestine, TX 75801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F48955 | (02) |