Individual
BRIAN J MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
18001 HIGHWAY 105 W STE 106, MONTGOMERY, TX 77356-2881
(936) 582-2464
(936) 582-4697
Mailing address
18001 HIGHWAY 105 W STE 106, MONTGOMERY, TX 77356-2881
(936) 582-2464
(936) 582-4697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1173320
TX
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1173320
LICENSE#
TX
Enumeration date
07/12/2007
Last updated
04/09/2026
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