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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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