Organization
LISTER INPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MEYERS MD (PRESIDENT/OWNER)
(214) 712-2403
Entity
Organization
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 884-4644
Mailing address
1717 MAIN ST, SUITE 5200, DALLAS, TX 75201-4612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271CLI
BLUE SHIELD
MD
01
—
K862
BLUE SHIELD
DC
Enumeration date
07/10/2006
Last updated
04/20/2008
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