Individual
MELANIE HYDE ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP06715
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP121532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294609701
—
TX
05
—
294609702
—
TX
05
—
294609703
—
TX
01
—
8607UC
BCBS
TX
01
—
P01040985
RAILROAD
TX
Enumeration date
02/14/2012
Last updated
09/09/2019
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