Individual
LILI MEISAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12221 MERIT DR STE 450, DALLAS, TX 75251-2294
(972) 770-1032
(469) 484-2126
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N1395
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320342401
—
TX
01
—
8DS287
BCBS
TX
01
—
TX124969
MEDICARE PTAN
TX
Enumeration date
09/26/2008
Last updated
12/27/2023
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