Individual
MELVA VICTORIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8502 DOSKOCIL DR, HOUSTON, TX 77044-1152
(832) 527-0500
Mailing address
8502 DOSKOCIL DR, HOUSTON, TX 77044-1152
(832) 527-0500
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
17068400
TX
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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