Individual
MELISSA THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75235-5202
(214) 633-5555
Mailing address
4801 CLIBURN DR, FORT WORTH, TX 76244-6129
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1010453
TX
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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