Melton, Charles M

Melton, Charles M is an individual health care provider with primary practice located at 2130 Ne Loop 410 Ste 301 , San Antonio TX 78217-4662. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Melton, Charles M can be contacted via phone (210) 829-1880.

Contact Information

Primary practice address
2130 Ne Loop 410 Ste 301 San Antonio TX 78217-4662
Phone: (210) 829-1880
Fax: (210) 822-6551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1144 Texas

Profile Details

NPI number 1962493148
LBN Legal business name Melton, Charles M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Feb 13th, 2024 - about 9 months 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 1962493148 NPPES
Texas MEDICAID 037162702
Texas Other 8A4602

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