Individual
JANET MELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9800
(806) 354-5689
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 414-9800
(806) 354-5689
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
036063571
IL
2086S0120X
Pediatric Surgery Physician
42651
TX
2086S0120X
Pediatric Surgery Physician
Primary
N9909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063571
—
IL
05
—
200246040 A
—
OK
05
—
202606401
—
TX
01
—
202606402
MEDICAID - TTUHSC
TX
05
—
202606403
—
TX
01
—
202606404
CSHCN- TTUHSC
TX
05
—
78358558
—
NM
Enumeration date
06/12/2006
Last updated
05/05/2015
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