Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1738 | TX |
Y | 222Z00000X | Podiatrist | 1738 | TX |
N | 224P00000X | Prosthetist | 1738 | TX |
NPI | 1336685668 |
---|---|
Provider Name | Natalia Mejia |
First Address | Austin, TX 78723-3077 |
Second Address | Austin, TX 78723-3077 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2017 |
Last Update Date | 10/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1738 | ORTHOTICS AND PROSTHETICS RESIDENT NUMBER (01) | TX |