Individual
MELANIE MILLER DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
621 N HALL ST STE 400, DALLAS, TX 75226-1316
(469) 800-7400
(469) 800-7410
Mailing address
621 N HALL ST STE 400, DALLAS, TX 75226-1316
(469) 800-7400
(469) 800-7410
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP116202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186610501
—
TX
01
—
8Y2615
BCBS
TX
Enumeration date
07/27/2007
Last updated
05/05/2023
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