Melvin, Lissa M

Melvin, Lissa M is an individual health care provider with primary practice located at 5414 Fredericksburg Rd Suite 200, San Antonio TX 78229. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Melvin, Lissa M can be contacted via phone (210) 614-2209.

Contact Information

Primary practice address
5414 Fredericksburg Rd Suite 200 San Antonio TX 78229
Phone: (210) 614-2209
Fax: (210) 614-5714
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 042041 Connecticut
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X M6738 Texas
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X M6738 Texas

Profile Details

NPI number 1881677979
LBN Legal business name Melvin, Lissa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Nov 7th, 2019 - about 5 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 1881677979 NPPES
Texas MEDICAID 1867277-01
Texas MEDICAID 001420413

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