Individual
MELISSA ERIN WILKES REQUENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
460 PARK GROVE DR, KATY, TX 77450-1571
(413) 862-2563
Mailing address
9722 GASTON RD STE 150-277, KATY, TX 77494-7941
(713) 249-9411
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P2400
TX
Other
Enumeration date
04/16/2007
Last updated
05/14/2024
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