Individual
MELANIE JILL BEBOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4940 GOODMAN AVE APT 3304, ADDISON, TX 75001-6627
(806) 626-8014
Mailing address
4940 GOODMAN AVE APT 3304, ADDISON, TX 75001-6627
(806) 626-8014
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1140598
TX
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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