Individual
CARLOS ANIBAL MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
908 E SOUTHMORE AVE, SUITE 290, PASADENA, TX 77502-1134
(713) 477-8888
(713) 477-8885
Mailing address
PO BOX 5624, PASADENA, TX 77508-5624
(713) 477-8888
(713) 477-8885
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
011583
PR
208000000X
Pediatrics Physician
Primary
J7090
TX
208000000X
Pediatrics Physician
MD-052944-L
PA
208000000X
Pediatrics Physician
ME 74872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011583
PR MEDICAL LICENCE
PR
05
—
123913904
—
TX
05
—
123913905
—
TX
01
—
MD-052944-L
PA MEDICAL LICENCE
PA
01
—
ME 74872
FL MEDICAL LICENCE
FL
Enumeration date
08/10/2005
Last updated
11/09/2015
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