Organization
EDUARDO A MEJIA DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO A. MEJIA (OWNER)
(936) 588-9303
Entity
Organization
Contact information
Practice address
2257 N LOOP 336 W STE 120, CONROE, TX 77304-3566
(936) 588-9303
(936) 756-9393
Mailing address
2257 N LOOP 336 W STE 120, CONROE, TX 77304-3566
(936) 588-9303
(936) 756-9393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22766
TX
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/19/2016
Last updated
01/31/2017
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