Individual
DR. MELISSA PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 927-3636
Mailing address
2450 OAK HILL CIR APT 411, FORT WORTH, TX 76109-9513
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N6576
TX
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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