Organization
JAMIE F MEYERS, DDS, MD, PA
Active
Other names
East Texas Facial and Oral Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE F MEYERS DDS, MD (PRESIDENT/PHYSICIAN)
(903) 723-5111
Entity
Organization
Contact information
Practice address
1721 S SYCAMORE ST, PALESTINE, TX 75801-6921
(903) 723-5111
(903) 723-0328
Mailing address
1721 S SYCAMORE ST, PALESTINE, TX 75801-6921
(903) 723-5111
(903) 723-0328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J3856
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L19H
BLUE CROSS/BLUE SHIELD
TX
05
—
034546401
—
TX
01
—
859955
UNITED CONCORDIA
TX
01
—
G60231
CHIPS
TX
Enumeration date
05/14/2008
Last updated
05/14/2008
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