Individual
DR. MELISSA BLANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 744-1887
(806) 744-5545
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(806) 725-4271
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
K5257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153235001
—
TX
01
—
220032896
MC RR
TX
01
—
82914Y
BCBS
TX
Enumeration date
01/17/2006
Last updated
07/21/2022
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