Individual
DR. MARCOS F VIDAL MELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-1221
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-0859
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
V6111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110451
—
MA
01
—
158846
TUFTS HEALTH PLAN
MA
01
—
J23004
BCBS MA
MA
Enumeration date
12/12/2005
Last updated
09/03/2025
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