| Octavio Mejia Jr Dds | |
|
2103 E Griffin Parkway Suite A Mission TX 78572 | |
| (956) 583-9880 | |
| (956) 583-1383 |
| Full Name | Octavio Mejia Jr Dds |
|---|---|
| Speciality | Dentist |
| Location | 2103 E Griffin Parkway, Mission, Texas |
| Authorized Official Name and Position | Octavio Mejia (OWNER) |
| Authorized Official Contact | 9565839880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Octavio Mejia Jr Dds 2103 E Griffin Parkway Suite A Mission TX 78572 Ph: (956) 583-9880 | Octavio Mejia Jr Dds 2103 E Griffin Parkway Suite A Mission TX 78572 Ph: (956) 583-9880 |
| NPI Number | 1679643415 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679643415 | NPI | - | NPPES |
| B19615 | Other | CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19615 (Texas) | Primary |
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