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NPI Code Detail

MEDICARE: MELANIE D DEGROOT M.D.

MEDICARE: MELANIE D DEGROOT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD056443LPA

General Provider Information

NPI Number : 1053313569
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE D DEGROOT M.D.
Provider Business Mailing Address
First Line : 400 AUSTIN ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-4406
Country : US
Telephone Number : 281-342-4530
Fax Number : 281-344-8615
Provider Business Practice Location Address
First Line : 400 AUSTIN ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-4406
Country : US
Telephone Number : 281-342-4530
Fax Number : 281-341-2920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 11/18/2021

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Directions to “ MELANIE D DEGROOT M.D.” Practice Location

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