Provider Demographics
NPI:1366642613
Name:MIGUEL E. MEGO, D.D.S., M.S., P.A.
Entity Type:Organization
Organization Name:MIGUEL E. MEGO, D.D.S., M.S., P.A.
Other - Org Name:ENDODONTICS & MICROSURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ENDODONTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ELIAS
Authorized Official - Last Name:MEGO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:956-928-0022
Mailing Address - Street 1:2525 W TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5070
Mailing Address - Country:US
Mailing Address - Phone:956-928-0022
Mailing Address - Fax:956-928-0068
Practice Address - Street 1:2525 W TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5070
Practice Address - Country:US
Practice Address - Phone:956-928-0022
Practice Address - Fax:956-928-0068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225111223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty