Individual
DR. MELANIE MCKISSACK HANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2450 HOLCOMBE BLVD STE 34L, HOUSTON, TX 77021-2041
(832) 828-3660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0031953
TX
207L00000X
Anesthesiology Physician
Primary
P0997
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326988801
—
TX
05
—
326988802
—
TX
01
—
8DV117
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/28/2008
Last updated
03/06/2023
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