Individual
MR. RAY J MELCHIORRE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
6450 ADAMS FLAT RD, BROOKSHIRE, TX 77423-2473
(713) 882-1664
Mailing address
PO BOX 569, PATTISON, TX 77466-0569
(713) 882-1664
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
AT 1008
TX
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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