Provider Demographics
NPI:1124538459
Name:MEISCHEN, JEFFREY L (ATP)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:L
Last Name:MEISCHEN
Suffix:
Gender:F
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 CIRCLE WAY ST STE C
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5233
Mailing Address - Country:US
Mailing Address - Phone:512-202-1678
Mailing Address - Fax:512-519-7472
Practice Address - Street 1:127 CIRCLE WAY ST STE C
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5233
Practice Address - Country:US
Practice Address - Phone:512-202-1678
Practice Address - Fax:512-519-7472
Is Sole Proprietor?:No
Enumeration Date:2017-09-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other