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Individual

ELIZABETH MELINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2715 W TRENTON RD, EDINBURG, TX 78539-3433
(956) 316-2224
Mailing address
4614 SHOAL CREEK DR, COLLEGE STATION, TX 77845-4407
(979) 229-7485

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1189691
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149229001
TX
Enumeration date
08/26/2009
Last updated
03/04/2024
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