Provider Demographics
NPI:1679776173
Name:MECHAM, ADAM LEON (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:LEON
Last Name:MECHAM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6423 MCPHERSON RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6179
Mailing Address - Country:US
Mailing Address - Phone:956-791-3733
Mailing Address - Fax:956-791-3724
Practice Address - Street 1:6423 MCPHERSON RD
Practice Address - Street 2:SUITE 9
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6179
Practice Address - Country:US
Practice Address - Phone:956-791-3733
Practice Address - Fax:956-791-3724
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9710111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB122210Medicare PIN