Individual
DR. MELISSA WILCOX BLASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 NE LOOP 410 STE 900, SAN ANTONIO, TX 78216-5831
(210) 375-7790
Mailing address
45 NE LOOP 410, STE 900, SAN ANTONIO, TX 78216-5831
(210) 375-7790
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R0543
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2013
Last updated
11/09/2017
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