Individual
DR. MELISSA E CLOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 E HOUSTON ST, STE. 530, TYLER, TX 75702-8369
(903) 531-5560
(903) 531-5566
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
P9824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349707501
—
TX
05
—
349707502
—
TX
01
—
75-2616977-039
TRICARE
TX
01
—
8FG805
BCBS
TX
Enumeration date
04/06/2009
Last updated
05/06/2016
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