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Individual

MELISSA ALETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
220 E. HARRIS, SAN ANGELO, TX 76903
(325) 658-1511
(325) 481-2166
Mailing address
P.O. BOX 22000, SAN ANGELO, TX 76903
(325) 658-1511
(325) 481-2166

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R3632
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
375564701
TX
01
593993YKRY
MEDICARE PTAN
TX
Enumeration date
07/11/2012
Last updated
12/26/2017
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