Individual
MELANIE LYNETTE HAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6750 N MACARTHUR BLVD, SUITE 250, IRVING, TX 75039-2875
(972) 823-3230
(972) 401-0458
Mailing address
2021 N MACARTHUR BLVD, SUITE 150, IRVING, TX 75061-2219
(972) 253-2560
(972) 253-4218
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N9060
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235339037
BLUE CROSS BLUE SHIELD
TX
05
—
3054553 04
—
TX
05
—
305455301
—
TX
Enumeration date
07/19/2007
Last updated
03/02/2017
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