Individual
MELINDA DAWN CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
401 RANCH ROAD 620 S STE 200, LAKEWAY, TX 78734-5304
(512) 610-0549
(512) 540-8853
Mailing address
401 RANCH ROAD 620 S STE 200, LAKEWAY, TX 78734-5304
(512) 610-0549
(512) 666-3744
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N6231
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215686101
—
TX
01
—
8CK978
BCBS IND. NUMBER
TX
Enumeration date
02/15/2008
Last updated
02/05/2019
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