Healthcare Provider Details

I. General information

NPI: 1124349881
Provider Name (Legal Business Name): MELODI N REESE-HOLLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2010
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 MATLOCK RD STE 350
ARLINGTON TX
76015-2954
US

IV. Provider business mailing address

3201 MATLOCK RD STE 350
ARLINGTON TX
76015-2954
US

V. Phone/Fax

Practice location:
  • Phone: 817-468-3255
  • Fax: 817-468-7823
Mailing address:
  • Phone: 817-468-3255
  • Fax: 817-468-7823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberBP1-0036909
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: