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Individual
TIMOTHY MELTON
Active
Individual
TIMOTHY MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
606299
BCBS
TX
01
—
8285856
BLUE LINK
TX
Enumeration date
06/21/2005
Last updated
10/17/2022
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