Provider Demographics
NPI:1851927230
Name:JOSE NED MEZA PLLC
Entity Type:Organization
Organization Name:JOSE NED MEZA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:NED
Authorized Official - Last Name:MEZA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-225-9020
Mailing Address - Street 1:312 PECAN BLVD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2355
Mailing Address - Country:US
Mailing Address - Phone:956-687-6453
Mailing Address - Fax:956-687-6455
Practice Address - Street 1:312 PECAN BLVD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2355
Practice Address - Country:US
Practice Address - Phone:956-225-9020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty