Provider Demographics
NPI:1003903238
Name:MEEK AND TASCH, INC
Entity Type:Organization
Organization Name:MEEK AND TASCH, INC
Other - Org Name:38TH STREET DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:C MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-458-6222
Mailing Address - Street 1:1500 W 38TH ST
Mailing Address - Street 2:STE #56
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-6321
Mailing Address - Country:US
Mailing Address - Phone:512-458-6222
Mailing Address - Fax:512-458-8497
Practice Address - Street 1:1500 W 38TH ST
Practice Address - Street 2:STE #56
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6321
Practice Address - Country:US
Practice Address - Phone:512-458-6222
Practice Address - Fax:512-458-8497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX190101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty