Individual
NICOLAS MEZA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 S 31ST ST # 11AG062, TEMPLE, TX 76508-0001
(254) 724-5815
Mailing address
2401 S 31ST ST # 11AG062, TEMPLE, TX 76508-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V9369
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
08/18/2025
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