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NPI Code Detail

MEDICARE: DR. ANDREW WALTER MELHART DO

MEDICARE: DR. ANDREW WALTER MELHART DO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianV3381TX

General Provider Information

NPI Number : 1821793910
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW WALTER MELHART DO
Provider Business Mailing Address
First Line : 200 W MAGNOLIA AVE STE 201
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-7657
Country : US
Telephone Number : 817-702-1100
Fax Number : 817-702-2140
Provider Business Practice Location Address
First Line : 1500 S MAIN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4917
Country : US
Telephone Number : 817-702-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2023
Last Update Date : 06/22/2026

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