Provider Demographics
NPI:1396002937
Name:MEZA, HUGO ALBERTO JR (FNP)
Entity Type:Individual
Prefix:MR
First Name:HUGO
Middle Name:ALBERTO
Last Name:MEZA
Suffix:JR
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1111 HAWKINS BLVD
Mailing Address - Street 2:2A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-6421
Mailing Address - Country:US
Mailing Address - Phone:915-771-8346
Mailing Address - Fax:
Practice Address - Street 1:1111 HAWKINS BLVD
Practice Address - Street 2:2A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-6421
Practice Address - Country:US
Practice Address - Phone:915-771-8346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX761088363LF0000X
TXAP121137363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily