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MESHAAN SHAUNTA FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
921 GESSNER RD, HOUSTON, TX 77024-2501
(713) 242-3825
Mailing address
921 GESSNER RD, HOUSTON, TX 77024-2501
(713) 242-3825

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.29609
AL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P4047
TX
207RP1001X
Pulmonary Disease Physician
P4047
TX
208M00000X
Hospitalist Physician
Primary
MD.29609
AL
390200000X
Student in an Organized Health Care Education/Training Program
29609
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118136
AL
05
118138
AL
01
1770763450
TRICARE SOUTH
AL
01
511-04926
BCBS
AL
01
511-04927
BCBS
AL
Enumeration date
11/09/2007
Last updated
03/17/2017
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