Individual
ERNESTINA MELICOFF-PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 FANNIN ST FL 10, HOUSTON, TX 77030-2608
(832) 822-3300
Mailing address
6701 FANNIN ST FL 10, HOUSTON, TX 77030-2608
(832) 822-3300
(832) 825-3308
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N7561
TX
2080P0214X
Pediatric Pulmonology Physician
Primary
N7561
TX
Other
Enumeration date
01/03/2011
Last updated
10/19/2022
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