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Individual

MELISSA H BINKLEY

Active
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Individual

MELISSA H BINKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSA

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00553
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10-283
BOARD CERTIFICATION
TX
01
12678891
CAQH
TX
01
8418NV
BCBSTX
TX
01
SA00553
LSA LICENSE
TX
Enumeration date
01/13/2011
Last updated
02/01/2018
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