Individual
MELISSA I COSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17051 DALLAS PKWY STE 350, ADDISON, TX 75001-7107
(214) 702-0029
(214) 382-3453
Mailing address
17051 DALLAS PKWY STE 350, ADDISON, TX 75001-7107
(214) 702-0029
(214) 382-3453
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J5980
TX
Other
Enumeration date
03/18/2006
Last updated
10/27/2020
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