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Individual
MELISSA T ISRAEL
Active
Individual
MELISSA T ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03847
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190839402
—
TX
01
—
190839403
CSHCN
TX
Enumeration date
08/10/2006
Last updated
03/05/2019
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