Individual
JUDD T MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
6410 FANNIN ST, STE 600, HOUSTON, TX 77030-3000
(832) 325-7100
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
707143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322054303
—
TX
Enumeration date
07/01/2013
Last updated
12/11/2014
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