Organization
JEFF W MEINCKE-REZA M D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF W MEINCKE-REZA M.D (ORTHOPEDIC SURGERN)
(903) 416-2663
Entity
Organization
Contact information
Practice address
1014 MEMORIAL DR STE 314, DENISON, TX 75020-2084
(903) 416-2663
(903) 416-2664
Mailing address
1014 MEMORIAL DR STE 314, DENISON, TX 75020-2084
(903) 416-2663
(903) 416-2664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K6887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036JT
BLUE CROSS AND BLUE SHIEL
TX
01
—
3101855
AETNA INSURANCE
TX
01
—
P00007908
RAILROAD MEDICARE
TX
Enumeration date
02/16/2007
Last updated
02/27/2008
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