Vander Straten, Melody Rene

Vander Straten, Melody Rene is an individual health care provider with primary practice located at 5145 N Fm 620 Ranch Road, Bldg I , Austin TX 78732-1815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Vander Straten, Melody Rene can be contacted via phone (512) 681-5900.

Contact Information

Primary practice address
5145 N Fm 620 Ranch Road, Bldg I Austin TX 78732-1815
Phone: (512) 681-5900
Fax: (512) 681-5922
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M1393 Texas

Profile Details

NPI number 1730151549
LBN Legal business name Vander Straten, Melody Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Dec 29th, 2015 - about 9 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 1730151549 NPPES
Texas MEDICAID 334731201
Texas Other 8BS530
Texas Other P01539122
Texas Other 8M7132

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