Individual
DR. JAIRO A MELO
Active
Individual
DR. JAIRO A MELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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