Provider Demographics
NPI:1871504209
Name:MEEHAN, JOHN P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:MEEHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4500 S LANCASTER RD
Mailing Address - Street 2:#116A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-7167
Mailing Address - Country:US
Mailing Address - Phone:214-857-0722
Mailing Address - Fax:214-857-0911
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:#116A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-0722
Practice Address - Fax:214-857-0911
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH77912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry