Individual
MELISSA LARAE DISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3501 N MACARTHUR BLVD SUITE 500, IRVING, TX 75062-7573
(972) 256-3700
(866) 630-6348
Mailing address
3501 N MACARTHUR BLVD SUITE 500, IRVING, TX 75062
(972) 256-3700
(866) 630-6348
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP139412
TX
Other
Enumeration date
11/01/2018
Last updated
01/15/2019
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