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Individual

MELANIE R. KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
5201 HARRY HINES BLVD, WISH TUBAL CLINIC, DALLAS, TX 75235-7708
(214) 590-5306
(214) 590-2798
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
508283
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138268107
TX
05
138268108
TX
05
138268111
TX
05
138268112
TX
05
138268113
TX
05
138268114
TX
05
138268115
TX
05
138268116
TX
05
138268117
TX
05
138268118
TX
05
138268119
TX
05
138268120
TX
01
8N4800
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/29/2005
Last updated
04/06/2009
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