Individual
MRS. MELISSA MATUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
904 CHARLESTON DR, BEDFORD, TX 76022-7604
(318) 218-6199
Mailing address
904 CHARLESTON DR, BEDFORD, TX 76022-7604
(318) 218-6199
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99385
TX
Other
Enumeration date
06/27/2016
Last updated
07/30/2019
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