Shang Jun Meng PA-C

NPI 1720379126

Information of Shang Jun Meng PA-C

The NPI 1720379126 is an Individual type. NPI No 1720379126 belongs to Shang Jun Meng. Shang Jun Meng PA-C specializes in Physician Assistant. She is practising at 12221 Merit Dr Ste 1610, Dallas, Texas 75251. You can also contact him via phone number (214) 217-1911.

Practice address located

  • 12221 Merit Dr Ste 1610
  • Dallas, Texas 75251
  • (214) 217-1911
  • (214) 217-1911

Mailling address located

  • 12221 Merit Dr Ste 1610
  • Dallas, Texas 75251
  • (214) 217-1911
  • (214) 217-1912
Shang Jun Meng PA-C is PECOS enrolled.
NPI No 1720379126
Primary Taxonomy
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No363A00000XPhysician Assistantn/aTexas
Yes363A00000XPhysician AssistantPA07312Texas
Identifier for this provider
StateIdentifierTypeIssuer
TX282395701Medicaidn/a
TXTXB130935Medicare PINn/a
NM34352074Medicaidn/a
TXTXB130934Medicare PINn/a
TX282395702Medicaidn/a
TX282395703Medicaidn/a
TXTXB130932Medicare PINn/a
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