Sykes, Mellick T.

Sykes, Mellick T. is an individual health care provider with primary practice located at 4330 Medical Dr Ste 120, San Antonio TX 78229-3342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Sykes, Mellick T. can be contacted via phone (210) 614-7414.

Contact Information

Primary practice address
4330 Medical Dr Ste 120 San Antonio TX 78229-3342
Fax: (210) 616-0509
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MDE6643 Texas

Profile Details

NPI number 1457358517
LBN Legal business name Sykes, Mellick T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Aug 21st, 2012 - about 13 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 1457358517 NPPES
Texas MEDICAID 122736505

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