Individual
MEKO M RADOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 MOORES LN, TEXARKANA, TX 75503-1840
(903) 614-5033
Mailing address
2900 SAINT MICHAEL DR STE 401, TEXARKANA, TX 75503-5211
(903) 614-5367
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J2265
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149315001
—
AR
05
—
156208401
—
TX
Enumeration date
07/28/2005
Last updated
12/17/2024
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