MEDICARE: MELANIE MOORE BIGGS PH.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
1	103TC0700X	Clinical Psychologist	25053	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619939626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE MOORE BIGGS PH.D.

Provider Business Mailing Address
First Line	:	BAYLOR SCOTT & WHITE MEDICAL PSYCHOLOGY CONSULTANTS
Second Line	:	3600 GASTON AVENUE, BARNETT TOWER - SUITE 404
City	:	DALLAS
State	:	TX
Zip	:	75246-1804
Country	:	US
Telephone Number	:	214-820-5516
Fax Number	:	214-820-5518

Provider Business Practice Location Address
First Line	:	BAYLOR SCOTT & WHITE MEDICAL PSYCHOLOGY CONSULTANTS
Second Line	:	3600 GASTON AVENUE, BARNETT TOWER - SUITE 404
City	:	DALLAS
State	:	TX
Zip	:	75246-1804
Country	:	US
Telephone Number	:	214-820-5516
Fax Number	:	214-820-5518

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	04/10/2018

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