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Individual

MELANIE G HARSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
731 MARTIN RD, HURST, TX 76054-2703
(817) 514-0346
(817) 514-0885
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J6957
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00U87Z
BCBSTX GRP PIN
TX
05
060610501
TX
01
1206706
UHC PIN
TX
05
140442828
TX
05
140442868
TX
01
140470100
FIRSTCARE PIN
TX
01
1750369203
GRP NPI NUMBER
01
232536
PHCS PIN
TX
01
2760457
CIGNA PIN
TX
01
4565709
AETNA PIN
TX
01
800324
FIRSTHEALTH PIN
TX
01
89500X
BCBSTX IND PIN
TX
01
HARMF90995
CCHIP PIN
TX
Enumeration date
10/16/2006
Last updated
07/26/2019
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