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NPI Code Detail

MEDICARE: MS. MELLISSA BINNEY P.A.

MEDICARE:  MS. MELLISSA  BINNEY  P.A.
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
1363AM0700XMedical Physician AssistantPA03028TX

General Provider Information

NPI Number : 1861480881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELLISSA BINNEY P.A.
Provider Business Mailing Address
First Line : 102 WESTLAKE DR
Second Line : STE 100
City : AUSTIN
State : TX
Zip : 78746-5394
Country : US
Telephone Number : 512-327-7779
Fax Number : 512-444-0977
Provider Business Practice Location Address
First Line : 102 WESTLAKE DR
Second Line : STE 100
City : AUSTIN
State : TX
Zip : 78746-5394
Country : US
Telephone Number : 512-327-7779
Fax Number : 512-444-0977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 10/13/2010

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Directions to “ MS. MELLISSA BINNEY P.A.” Practice Location

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