Individual
JERAD MEINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9300 S I H 35 STE B, AUSTIN, TX 78748-1741
(512) 345-2595
Mailing address
9300 S I H 35 STE B, AUSTIN, TX 78748-1741
(512) 345-2595
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7278T
TX
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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