Individual
DR. JOHN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 GRAPEVINE MILLS PKWY STE 329-20, GRAPEVINE, TX 76051-2008
(214) 285-0041
Mailing address
3000 GRAPEVINE MILLS PKWY STE 329-20, GRAPEVINE, TX 76051-2008
(214) 285-0041
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J7108
TX
208000000X
Pediatrics Physician
J7108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138988412
—
TX
05
—
138988416
—
TX
05
—
59155035
—
NM
01
—
84784F
BCBS
TX
01
—
8K9071
BCBS
TX
01
—
8V2870
BCBS
TX
01
—
930045363
MEDICARE RAILROAD
TX
Enumeration date
12/22/2005
Last updated
03/17/2018
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