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Individual
IVAN G MELENDEZ
Active
Individual
IVAN G MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H5188
TX
207Q00000X
Family Medicine Physician
Primary
H5188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139915625
—
TX
05
—
139915633
—
TX
01
—
139915634
INDIVIDUAL CHSCN
TX
05
—
139915635
—
TX
01
—
319701ZW6Z
MEDICARE -IVANA
TX
01
—
8GK771
BCBS - IVANA
TX
01
—
8U5314
BLUE CROSS BLUE SHIELD
TX
01
—
P00258990
RAILROAD MEDICARE
TX
01
—
P01802108
RR MEDICARE- IVANA
TX
Enumeration date
12/14/2005
Last updated
09/21/2023
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