Individual
CHARLES L MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F6942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004314459
AETNA
TX
05
—
047791102
—
TX
05
—
100150730A
—
OK
05
—
128230001
—
AR
01
—
19559000040
QUAL CHOICE
AR
01
—
3250610
BLUE LINK
AR
01
—
8G3790
BCBS OF TEXAS
TX
01
—
97146
BCBS OF ARKANSAS
AR
01
—
O60068553
RAILROAD
—
Enumeration date
06/12/2006
Last updated
04/28/2010
Update your record
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