Most Relevant Information
Provider Data
| NPI Number: | 1003643131 |
| Provider Name: | MELISSA VIVIAN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP2201X |
| Specialty: | Registered Nurse |
| License Number: | 951186 |
Most Important Dates
| Enumeration Date: | 09/13/2024 |
| Last Updated: | 09/13/2024 |
Provider Practice Location
9939 STATE HIGHWAY 151
SAN ANTONIO
TX
782511900
Practice Location Phone/Fax
| Phone: | 2109499702 |
| Fax: |
Provider Mailing Location
9939 STATE HIGHWAY 151
SAN ANTONIO
TX
782511900
Provider Mailing Phone/Fax
| Phone: | 2109499702 |
| Fax: |