Individual
DR. JAIRO A MELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 SPURS LN, SUITE 230B, SAN ANTONIO, TX 78240-1669
(210) 690-7400
(210) 957-6956
Mailing address
21 SPURS LN, SUITE 230B, SAN ANTONIO, TX 78240-1669
(210) 690-7400
(210) 957-6956
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K1260
TX
207RP1001X
Pulmonary Disease Physician
Primary
K1260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047531103
—
TX
01
—
8AW555
BLUE CROSS
TX
Enumeration date
07/05/2005
Last updated
10/12/2011
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