Most Relevant Information
Provider Data
| NPI Number: | 1003277310 |
| Provider Name: | MELODIE IRVIN PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA00855 |
Most Important Dates
| Enumeration Date: | 03/14/2016 |
| Last Updated: | 03/14/2016 |
Provider Practice Location
7474 S KIRKWOOD RD
SUITE 206
HOUSTON
TX
770723307
Practice Location Phone/Fax
| Phone: | 2815645500 |
| Fax: | 2815645502 |
Provider Mailing Location
7474 S KIRKWOOD RD
SUITE 206
HOUSTON
TX
770723307
Provider Mailing Phone/Fax
| Phone: | 2815645500 |
| Fax: | 2815645502 |