Provider Demographics
NPI:1477201515
Name:MESZAROS, JEREMY SCOTT
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:SCOTT
Last Name:MESZAROS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12615 ASHFORD HILLS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-3842
Mailing Address - Country:US
Mailing Address - Phone:713-827-0600
Mailing Address - Fax:281-715-5634
Practice Address - Street 1:12615 ASHFORD HILLS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-3842
Practice Address - Country:US
Practice Address - Phone:713-827-0600
Practice Address - Fax:281-715-5634
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician