# MR. JEFFREY W MEINCKE-REZA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629039607
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 41012 | WI | Yes |
| 207X00000X | Orthopaedic Surgery Physician | K6887 | TX | — |

## Other

- **Enumeration date:** 03/30/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0036JT | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 045592503 | — | TX |
| 05 | — | 200039200A | — | OK |
| 01 | — | 3000 | NEIC | TX |
| 01 | — | 3101855 | AETNA | TX |
| 01 | — | P00007908 | RAILROAD MEDICARE | TX |