Individual
MS. MELINDA ROSE FARIAS HUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14601 RED RIVER DR, CORPUS CHRISTI, TX 78410-5624
(361) 726-5801
(361) 241-7613
Mailing address
14601 RED RIVER DR, CORPUS CHRISTI, TX 78410-5624
(361) 726-5801
(361) 241-7613
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
32004747419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32004747419
TAXPAYER ID
TX
Enumeration date
02/02/2007
Last updated
09/11/2025
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