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Individual

DR. BRIAN L MEALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229
(210) 567-6405
(210) 567-2844
Mailing address
PO BOX 40397, SAN ANTONIO, TX 78229-3900
(210) 567-6405
(210) 567-2844

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
13658
TX
1223P0300X
Periodontics
Primary
13658
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
167216401
CIDC
TX
05
167216401
TX
01
1691076
UNITED CONCORDIA
01
89D018
BLUE CROSS BLUE SHIELD
Enumeration date
10/19/2006
Last updated
11/21/2022
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