# EDUARDO A MEJIA DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558819615
- **Authorized official:** DR. EDUARDO A. MEJIA (OWNER)
- **Authorized official phone:** (936) 588-9303

## Contact information

- **Practice address:** 2257 N LOOP 336 W STE 120, CONROE, TX 77304-3566
- **Practice address phone:** (936) 588-9303
- **Practice address fax:** (936) 756-9393
- **Mailing address:** 2257 N LOOP 336 W STE 120, CONROE, TX 77304-3566
- **Mailing address phone:** (936) 588-9303
- **Mailing address fax:** (936) 756-9393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22766 | TX | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 09/19/2016
- **Last updated:** 01/31/2017