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Organization

MELISSA K. CROCHET, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELLISA KAY CROCHET MD (OWNER)
(214) 823-7900
Entity
Organization

Contact information

Practice address
411 N WASHINGTON AVE, SUITE 2700, DALLAS, TX 75246-1713
(214) 823-7900
(214) 239-4260
Mailing address
411 N WASHINGTON AVE, SUITE 2700, DALLAS, TX 75246-1713
(214) 823-7900
(214) 239-4260

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K4400
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0029PU
BC/BS
TX
05
169148701
TX
Enumeration date
08/11/2006
Last updated
04/09/2012
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