Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD422543 | PA |
N | 2081S0010X | Sports Medicine | MD422543 | PA |
N | 213ES0000X | Sports Medicine | MD422543 | PA |
NPI | 1295799591 |
---|---|
Provider Name | Felix A Meza |
First Address | Hershey, PA 17033-0854 |
Second Address | State College, PA 16803-6706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 15/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0019715160001 | (05) | PA |
H92918 | (02) |