Individual
MELISSA WALLES GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGNP-C
Contact information
Practice address
700 PARKER SQ STE 265, FLOWER MOUND, TX 75028-7449
(469) 348-0670
(469) 348-0672
Mailing address
PO BOX 485, COPPELL, TX 75019-0402
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1003502
TX
Other
Enumeration date
10/15/2020
Last updated
01/17/2023
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