Provider Demographics
NPI:1386976447
Name:THOMAS D. MEEK, M.D. P.A.
Entity type:Organization
Organization Name:THOMAS D. MEEK, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:MEEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:432-332-0478
Mailing Address - Street 1:80 PRESTWICK
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-5200
Mailing Address - Country:US
Mailing Address - Phone:432-332-0478
Mailing Address - Fax:432-687-6298
Practice Address - Street 1:511 N ALLEGHANEY AVE
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4405
Practice Address - Country:US
Practice Address - Phone:432-332-0478
Practice Address - Fax:432-687-6298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-31
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD3510207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131577206Medicaid
TXD3510OtherLICENSE
TXTXB101335Medicare PIN
TXB24821Medicare UPIN