Mizesko, Melissa Catherine
Mizesko, Melissa Catherine is an sole proprietor health care provider with primary practice located at 3533 S. Alameda , Corpus Christi TX 78411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Mizesko, Melissa Catherine can be contacted via phone (361) 694-4864.Contact Information
Primary practice address
3533 S. Alameda
Corpus Christi TX 78411
Phone: (361) 694-4864
Fax: (361) 851-6867
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | P7814 | Texas |
Profile Details
NPI number | 1003026139 |
---|---|
LBN Legal business name | Mizesko, Melissa Catherine |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 24th, 2007 |
Last updated | Dec 4th, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003026139 | NPPES |
Texas | MEDICAID | 3276750-03 |
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