# DR. MELISSA E CLOONAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871735852
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | P9824 | TX | Yes |

## Other

- **Enumeration date:** 04/06/2009
- **Last updated:** 05/06/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 349707501 | — | TX |
| 05 | — | 349707502 | — | TX |
| 01 | — | 75-2616977-039 | TRICARE | TX |
| 01 | — | 8FG805 | BCBS | TX |