Provider Demographics
NPI:1891563003
Name:MEYCAM ENTERPRISES LLC
Entity Type:Organization
Organization Name:MEYCAM ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ADMISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TUNISHA
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:CHE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:210-789-0741
Mailing Address - Street 1:15342 SPANISH RANCHOS WAYS
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2122
Mailing Address - Country:US
Mailing Address - Phone:210-789-0741
Mailing Address - Fax:
Practice Address - Street 1:17840 MOUND RD STE B
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6931
Practice Address - Country:US
Practice Address - Phone:210-649-0422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care