Individual
MELLICK T. SYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4330 MEDICAL DR, STE 120, SAN ANTONIO, TX 78229-3342
(210) 614-7414
(210) 616-0509
Mailing address
5047 SHERRI ANN RD, SAN ANTONIO, TX 78229-3353
(210) 237-4400
(210) 828-0590
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MDE6643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122736505
—
TX
Enumeration date
07/05/2005
Last updated
08/21/2012
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