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MEAH ASC MANAGEMENT LLC NPI 1720099260


NPI Information

NPI: 1720099260
Provider Name: MEAH ASC MANAGEMENT, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D1001200

Address:
109 PARKING WAY STREET
LAKE JACKSON, TX
ZIP 77566
Phone: (979) 292-0033
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MEAH ASC MANAGEMENT, LLC is an ambulatory surgical clinic center in Lake Jackson, TX. MEAH ASC MANAGEMENT, LLC NPI is 1720099260. The provider is registered as an organization entity type.

The provider's business location address is:

109 PARKING WAY STREET
LAKE JACKSON, TX
ZIP 77566
Phone: (979) 292-0033
Fax: (979) 292-0488

The provider's authorized official is Nizam M Meah .
The authorized official title is President and has the following contact phone number (979) 292-0033.

The CLIA number assigned to this NPI record is 45D1001200 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 10/26/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical007865TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ASC148MEDICARE PINTEXAS
28P0550OTHERTEXASBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.