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Organization

MELINDA D SPOONER MD PA

Active
Other names
OB-GYN Healthcare Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MELINDA D SPOONER MD (PHYSICIAN OWNER)
(972) 612-5551
Entity
Organization

Contact information

Practice address
3801 W 15TH ST, SUITE 270, PLANO, TX 75075-4737
(972) 964-5514
(972) 312-1476
Mailing address
3801 W 15TH ST, SUITE 270, PLANO, TX 75075-4737
(972) 964-5514
(972) 312-1476

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
K2379
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K2379
PROVIDER STATE LICENSE
TX
Enumeration date
08/30/2006
Last updated
10/05/2009
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