Individual
MRS. MELISSA KAYE FULGENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PARAMEDICAL ARTIST
Contact information
Practice address
6221 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6273
(844) 407-3733
Mailing address
240 HARWOOD RD STE 3, BEDFORD, TX 76021-4189
(844) 407-3733
(407) 650-2754
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1003787
TX
246Z00000X
Other Specialist/Technologist
—
—
Other
Enumeration date
12/11/2023
Last updated
03/11/2026
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