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Individual

MELISSA M CARBAJAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
14027 MEMORIAL DR # 252, HOUSTON, TX 77079-6826
(281) 412-2494
(281) 412-2495
Mailing address
PO BOX 975190, DALLAS, TX 75397-5190
(281) 412-2494
(281) 412-2495

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
N2978
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207615003
TX
Enumeration date
10/05/2009
Last updated
03/22/2011
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