Provider Demographics
NPI:1598025868
Name:MEOZ INC
Entity Type:Organization
Organization Name:MEOZ INC
Other - Org Name:PARKWEST MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEMILLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP
Authorized Official - Phone:281-469-9100
Mailing Address - Street 1:11811 FM 1960 RD W
Mailing Address - Street 2:SUITE 198
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3827
Mailing Address - Country:US
Mailing Address - Phone:281-469-9100
Mailing Address - Fax:281-469-9109
Practice Address - Street 1:11811 FM 1960 RD W
Practice Address - Street 2:SUITE 198
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3827
Practice Address - Country:US
Practice Address - Phone:281-469-9100
Practice Address - Fax:281-469-9109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX659625261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherEIN