Individual
AMY K MELLONIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
508 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(281) 943-2790
(281) 943-2773
Mailing address
508 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(281) 943-2790
(281) 943-2773
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51453
TX
237600000X
Audiologist-Hearing Aid Fitter
51453
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152797002
—
TX
Enumeration date
03/31/2008
Last updated
10/19/2011
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