Provider Demographics
NPI:1033261714
Name:MEZA, JULIE I (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:I
Last Name:MEZA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:I
Other - Last Name:TABINGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10604 N 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6313
Mailing Address - Country:US
Mailing Address - Phone:956-357-7070
Mailing Address - Fax:
Practice Address - Street 1:1401 E 8TH ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6640
Practice Address - Country:US
Practice Address - Phone:956-969-5267
Practice Address - Fax:956-969-5497
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX654901367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered