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Individual

MELODY HELLSTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 562-5300
(210) 562-5342
Mailing address
7703 FLOYD CURL DR, MC 7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
598404
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165497205
TX
01
165497206
MEDICAID (CSCHN)
TX
Enumeration date
08/24/2006
Last updated
11/02/2012
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