Organization
MEAH ASC MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIZAM M MEAH (PRESIDENT)
(979) 292-0033
Entity
Organization
Contact information
Practice address
109 PARKING WAY STREET, LAKE JACKSON, TX 77566
(979) 292-0033
(979) 292-0488
Mailing address
109 PARKING WAY STREET, LAKE JACKSON, TX 77566
(979) 292-0033
(979) 292-0488
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007865
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8P0550
BLUE CROSS
TX
Enumeration date
08/10/2006
Last updated
02/11/2025
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