Individual
JEFFREY PAUL MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 LAKEVIEW PKWY, SUITE 200, ROWLETT, TX 75088-4557
(972) 475-0960
(972) 412-5219
Mailing address
9500 LAKEVIEW PKWY, SUITE 200, ROWLETT, TX 75088-4557
(972) 475-0960
(972) 412-5219
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G5420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168352601
—
TX
01
—
8K0723
MEDICARE INDIVIDUAL
TX
Enumeration date
07/14/2005
Last updated
06/18/2010
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