Individual
DR. DANIEL ELIAS MELVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1545 E SOUTHLAKE BLVD STE 110, SOUTHLAKE, TX 76092-6464
(817) 600-8725
Mailing address
1545 E SOUTHLAKE BLVD STE 110, SOUTHLAKE, TX 76092-6464
(817) 600-8725
(833) 989-2353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200658
LA
207Q00000X
Family Medicine Physician
41035
KY
207Q00000X
Family Medicine Physician
Primary
P4352
TX
207QA0505X
Adult Medicine Physician
P4352
TX
Other
Enumeration date
05/16/2006
Last updated
12/02/2022
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