Most Relevant Information
Provider Data
| NPI Number: | 1003421322 |
| Provider Name: | MELANIE JOE |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 225453 |
Most Important Dates
| Enumeration Date: | 09/14/2020 |
| Last Updated: | 09/14/2020 |
Provider Practice Location
5121 CRESTWAY RD STE 200B
WINDCREST
TX
782391975
Practice Location Phone/Fax
| Phone: | 8008056989 |
| Fax: |
Provider Mailing Location
5121 CRESTWAY RD STE 200B
WINDCREST
TX
782391975
Provider Mailing Phone/Fax
| Phone: | 8008056989 |
| Fax: |