Individual
DR. GAVIN MARK MELMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7150 N PRESIDENT GEORGE BUSH HWY STE 200, GARLAND, TX 75044-2210
(972) 272-3417
(972) 272-2425
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N0968
TX
207RX0202X
Medical Oncology Physician
Primary
N0968
TX
390200000X
Student in an Organized Health Care Education/Training Program
AB2218077-5353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202382201
—
TX
05
—
202382202
—
TX
01
—
8BZ448
BCBS
TX
01
—
P00942276
RAILROAD MEDICARE
TX
Enumeration date
05/18/2007
Last updated
01/31/2024
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