Provider Demographics
NPI:1093888125
Name:B CHRISTOPH MEYER MD PA
Entity Type:Organization
Organization Name:B CHRISTOPH MEYER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:B
Authorized Official - Middle Name:CHRISTOPH
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-647-7463
Mailing Address - Street 1:915 GESSNER RD
Mailing Address - Street 2:SUITE #150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2527
Mailing Address - Country:US
Mailing Address - Phone:713-647-7463
Mailing Address - Fax:713-647-7464
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:SUIT #150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2527
Practice Address - Country:US
Practice Address - Phone:713-647-7463
Practice Address - Fax:713-647-7464
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:B CHRISTOPH MEYER MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-16
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1561174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172655601Medicaid
TX0019BCOtherBLUE CROSS BLUE SHIELD
TX5183210001Medicare NSC
TXG12341Medicare UPIN
TX00246XMedicare ID - Type Unspecified