Individual
MELISSA DAWN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
409 COTTAGE RD, CARTHAGE, TX 75633-1466
(903) 693-6626
(903) 694-6626
Mailing address
PO BOX 130549, TYLER, TX 75713-0549
(903) 579-3931
(903) 509-5835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139767
TX
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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