Individual
NICOLAS A. MELGAREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
343 W. HOUSTON ST., SUITE #808, SAN ANTONIO, TX 78205
(210) 224-9616
(210) 224-5822
Mailing address
8042 WURZBACH RD., #280, SAN ANTONIO, TX 78229-3863
(210) 224-9616
(210) 224-5822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N1763
TX
207RI0200X
Infectious Disease Physician
Primary
N1763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219315301
—
TX
01
—
B117780
MEDICARE ID#
—
Enumeration date
01/26/2009
Last updated
06/28/2011
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