Individual
MR. TERRANCE LEROY MEINEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
801 HOUSTON ST, GEORGE WEST, TX 78022-3866
(361) 449-1947
(361) 449-1957
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-00029
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164729901
—
TX
05
—
286742601
—
TX
Enumeration date
10/27/2005
Last updated
11/14/2016
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