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Individual

ADAM LEES MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2451 STONE MYERS PARKWAY, SUITE 200, GRAPEVINE, TX 76051
(817) 251-2263
(817) 251-2276
Mailing address
2451 STONE MYERS PARKWAY, SUITE 200, GRAPEVINE, TX 76051
(817) 251-2263
(817) 251-2276

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20327
OK
207Q00000X
Family Medicine Physician
Primary
N8328
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100084220A
OK
01
800522535
MEDICARE GROUP PIN
OK
Enumeration date
01/27/2006
Last updated
05/20/2016
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