MEDICARE: MELANIE JO FRYE NP

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
1	363L00000X	Nurse Practitioner	AP113698	TX

General Provider Information

NPI Number	:	1548347636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE JO FRYE NP

Provider Business Mailing Address
First Line	:	1907 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4803
Country	:	US
Telephone Number	:	281-990-1696
Fax Number	:

Provider Business Practice Location Address
First Line	:	1907 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4803
Country	:	US
Telephone Number	:	281-990-1696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	04/08/2025

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