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Individual

JEFFREY MELLENTHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
6550 FANNIN ST, SMITH TOWER, SUITE1901, HOUSTON, TX 77030-2717
(713) 441-1100
Mailing address
6550 FANNIN ST, SMITH TOWER, SUITE1901, HOUSTON, TX 77030-2717
(713) 441-1100

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
637889
TX

Other

Enumeration date
06/23/2006
Last updated
07/08/2007
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