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
Fax: (361) 851-6867
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003026139 NPPES
Texas MEDICAID 3276750-03

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