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Individual
MELISSA ANN GIMENEZ
Active
Individual
MELISSA ANN GIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
845263
TX
363LF0000X
Family Nurse Practitioner
Primary
1009219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430100402
—
TX
Enumeration date
01/25/2020
Last updated
03/17/2026
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