Individual
MELISSA H BINKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
540 MADISON OAK DR, STE 610, SAN ANTONIO, TX 78258-3924
(210) 352-5346
(210) 352-5367
Mailing address
540 MADISON OAK DR, STE 610, SAN ANTONIO, TX 78258-3924
(210) 352-5346
(210) 352-5367
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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