Individual
MELISSA S BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11714 WILSON PARKE AVE STE 150, AUSTIN, TX 78726-4061
(512) 346-6611
(512) 406-6267
Mailing address
6210 E HIGHWAY 290 STE 420, AUSTIN, TX 78723-1142
(512) 483-9569
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D0065041
MD
208000000X
Pediatrics Physician
Primary
M7886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189688801
—
TX
05
—
189688802
—
TX
05
—
189688803
—
TX
05
—
189688804
—
TX
05
—
955817
—
AZ
Enumeration date
03/21/2006
Last updated
09/15/2020
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