Fondren, Melissa E

Fondren, Melissa E is an sole proprietor health care provider with primary practice located at 710 Bedell , Del Rio TX 78840-6072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fondren, Melissa E can be contacted via phone (830) 719-3996.

Contact Information

Primary practice address
710 Bedell Del Rio TX 78840-6072
Phone: (830) 719-3996
Fax: (830) 719-3996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 517792 Texas

Profile Details

NPI number 1609892041
LBN Legal business name Fondren, Melissa E
Credentials PCNS, MSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Jul 9th, 2007 - about 17 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 1609892041 NPPES
Texas MEDICAID 111487803
Texas MEDICAID 119880604
Texas MEDICAID 119880603

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