Individual
MELISSA GERVASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(814) 397-6971
Mailing address
801 7TH AVE, FORT WORTH, TX 76104-2733
(814) 397-6971
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
54852
TX
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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