Organization
EDWARD P. MELMED, M.D. P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD PETER MELMED M.D., P.A (OWNER)
(972) 566-7755
Entity
Organization
Contact information
Practice address
7777 FOREST LN, A210, DALLAS, TX 75230-2505
(972) 566-7755
(972) 566-7979
Mailing address
7777 FOREST LN, A210, DALLAS, TX 75230-2505
(972) 566-7755
(972) 566-7979
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00634
MEDICARE PROVIDER NUMBER
TX
Enumeration date
06/03/2010
Last updated
06/03/2010
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