Cloonan, Melissa E

Cloonan, Melissa E is an individual health care provider with primary practice located at 910 E Houston St Ste. 530, Tyler TX 75702-8369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as her primary health care specialty. Cloonan, Melissa E can be contacted via phone (903) 531-5560.

Contact Information

Primary practice address
910 E Houston St Ste. 530 Tyler TX 75702-8369
Phone: (903) 531-5560
Fax: (903) 531-5566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X P9824 Texas

Profile Details

NPI number 1871735852
LBN Legal business name Cloonan, Melissa E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2009
Last updated May 6th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871735852 NPPES
Texas Other 75-2616977-039 TRICARE
Texas MEDICAID 349707501 TRICARE
Texas Other 8FG805 TRICARE
Texas MEDICAID 349707502 TRICARE

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