Mejia, Octavio

Mejia, Octavio is an sole proprietor health care provider with primary practice located at 2103 E Griffin Pkwy Ste A , Mission TX 78572-3490. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Mejia, Octavio can be contacted via phone (956) 583-9880.

Contact Information

Primary practice address
2103 E Griffin Pkwy Ste A Mission TX 78572-3490
Phone: (956) 583-9880
Fax: (956) 583-1383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19615 Texas
Dental Providers / General Practice 1223G0001X 19615 Texas

Profile Details

NPI number 1689831406
LBN Legal business name Mejia, Octavio
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2008
Last updated May 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689831406 NPPES
Texas MEDICAID 142541505
Texas Other B19615

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