Individual
GENEVIEVE P. MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
220 EAST HARRIS, SAN ANGELO, TX 76903
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P4203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307206802
—
TX
01
—
602094YKRY
MEDICARE
TX
Enumeration date
06/20/2008
Last updated
02/25/2019
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