Individual
MELISSA CARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 N HALL ST, SUITE 400, DALLAS, TX 75226-1339
(214) 826-5000
Mailing address
PO BOX 660080, DALLAS, TX 75266-0080
(214) 237-6636
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H5302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129624608
—
TX
05
—
129624610
—
TX
Enumeration date
02/14/2006
Last updated
06/05/2014
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