Organization
WESLEY T. MYERS, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY THOMAS MYERS MD (OWNER)
(936) 539-8115
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER BLVD, STE 213, CONROE, TX 77304
(936) 539-8115
(936) 539-8118
Mailing address
100 MEDICAL CENTER BLVD, SUITE 213, CONROE, TX 77304
(936) 539-8115
(936) 539-8118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M4387
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M4387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10149037
DPS
—
01
—
M4387
LICENSE
—
Enumeration date
08/02/2012
Last updated
03/07/2023
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