Organization
MARK A. MELISH, M.D., P.A.
Active
Organization
MARK A. MELISH, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A MELISH M.D. (OWNER)
(210) 227-5223
Entity
Organization
Contact information
Practice address
621 N ALAMO ST, SAN ANTONIO, TX 78215-1836
(210) 227-5223
(210) 224-6945
Mailing address
PO BOX 29384, SAN ANTONIO, TX 78229-0384
(210) 227-5168
(210) 224-6945
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G8278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B60T
BCBS TEXAS
TX
01
—
050009511
RAILROAD MEDICARE
TX
01
—
103527100
USDOL
TX
05
—
157277801
—
TX
Enumeration date
09/13/2006
Last updated
06/16/2015
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