Madison, Melinda

Madison, Melinda is an individual health care provider with primary practice located at 605 S West St , Arlington TX 76019-0329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Madison, Melinda can be contacted via phone (817) 272-2771.

Contact Information

Primary practice address
605 S West St Arlington TX 76019-0329
Fax: (817) 272-3829
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 249237 Texas

Profile Details

NPI number 1285677682
LBN Legal business name Madison, Melinda
Credentials PHD, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 4th, 2015 - about 9 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 1285677682 NPPES
Texas MEDICAID 137801011
Texas MEDICAID 137801012

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