Individual
JOSE ANGEL MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1631 N. LOOP WEST, SUITE 600, HOUSTON, TX 77008-1592
(713) 863-0902
(713) 863-8682
Mailing address
1631 N. LOOP WEST, SUITE 600, HOUSTON, TX 77008-1592
(713) 863-0902
(713) 863-7107
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N7311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00319U
MEDICARE GROUP PTAN
TX
Enumeration date
01/18/2008
Last updated
02/06/2014
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