Individual
ELLEN GWENDOLYN MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 5TH STREET, TYLER, TX 75701
(903) 590-5555
(903) 590-5005
Mailing address
PO BOX 9477, TYLER, TX 75711-9477
(903) 594-2450
(903) 509-0493
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F4276
TX
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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