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Organization
MELVILLE MEDICINE, PLLC
Active
Organization
MELVILLE MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MELVILLE MD (MEMBER)
(817) 600-8725
Entity
Organization
Contact information
Practice address
1545 E SOUTHLAKE BLVD STE 110, SOUTHLAKE, TX 76092-6464
(817) 600-8725
Mailing address
1545 E SOUTHLAKE BLVD STE 110, SOUTHLAKE, TX 76092-6464
(817) 676-2010
(833) 989-2353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
Other
Enumeration date
04/18/2019
Last updated
12/02/2022
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