Individual
MR. BRADFORD B MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-A
Contact information
Practice address
7739 NORTHCROSS DR, SUITE U, AUSTIN, TX 78757-1700
(512) 452-9200
(512) 452-9211
Mailing address
7739 NORTHCROSS DR, SUITE U, AUSTIN, TX 78757-1700
(512) 452-9200
(512) 452-9211
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
91059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531515
BC/BS
TX
Enumeration date
10/19/2005
Last updated
08/28/2009
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