Individual
MELISSA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
102 N NUECES PARK LN, HARLINGEN, TX 78552-6235
(956) 421-2414
Mailing address
PO BOX 534358, HARLINGEN, TX 78553-4358
(956) 421-2414
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.072891
IL
208000000X
Pediatrics Physician
Primary
T5225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124.0272891
TEMPORARY MEDICAL PERMIT
IL
01
—
T5225
MEDICAL LICENSE
TX
Enumeration date
04/03/2018
Last updated
09/30/2024
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