Individual
MELODIE HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(254) 724-2111
Mailing address
PO BOX 847556, DALLAS, TX 75284-7556
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
243586
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP107107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033177-02
—
TX
01
—
85245U
BLUE SHIELD
TX
Enumeration date
04/04/2006
Last updated
01/25/2022
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