Individual
DR. MELANIE T STANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(281) 844-2180
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-5613
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q4849
TX
Other
Enumeration date
05/10/2013
Last updated
07/30/2015
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