Individual
DR. MELISSA ANNE TRAXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9411
Mailing address
PO BOX 1300, WINNSBORO, LA 71295-1300
(318) 435-9411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200118
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12666894
CAQH
—
05
—
1627607
—
LA
01
—
4YJC5
MEDICARE
LA
01
—
P00672316
RAILROAD MEDICARE
LA
Enumeration date
06/13/2006
Last updated
04/08/2021
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