Individual
NIZAM M. MEAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 PARKING WAY ST, LAKE JACKSON, TX 77566-5228
(979) 292-0033
(979) 292-0488
Mailing address
109 PARKING WAY ST, LAKE JACKSON, TX 77566-5228
(979) 292-0033
(979) 292-0488
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J5833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88581Y
BLUE CROSS
TX
Enumeration date
10/05/2006
Last updated
10/17/2007
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