Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | ME114179 | FL |
N | 207QA0401X | Family Doctor - Addiction Medicine | ME114179 | FL |
NPI | 1366738478 |
---|---|
Provider Name | Dr. Megan Elizabeth Janson |
First Address | Lockney, TX 79241-0037 |
Second Address | Lockney, TX 79241-0037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2011 |
Last Update Date | 04/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S9153 | LICENSE (01) | TX |