Individual
CLARK WAYNE MELONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 COUNTY ROAD 154, LIBERTY, TX 77575-9305
(281) 636-6979
Mailing address
701 COUNTY ROAD 154, LIBERTY, TX 77575-9305
(281) 636-6979
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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