Individual
ALEXIS MELLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(512) 963-2807
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
719875
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP121297
TX
Other
Enumeration date
09/11/2011
Last updated
01/04/2024
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